Provider Demographics
NPI:1518226745
Name:MILLER, EMILY ANN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2479 MADISON RD
Mailing Address - Street 2:APT. 14
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-1258
Mailing Address - Country:US
Mailing Address - Phone:304-541-0655
Mailing Address - Fax:443-927-7531
Practice Address - Street 1:2479 MADISON RD
Practice Address - Street 2:APT 14
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-1258
Practice Address - Country:US
Practice Address - Phone:410-802-5978
Practice Address - Fax:443-927-7531
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-08
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06747235Z00000X
OH10359235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist