Provider Demographics
NPI:1699015420
Name:MILLER, LESLIE JARMAN (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:JARMAN
Last Name:MILLER
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 ANTIQUE ROSE CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77382-7013
Mailing Address - Country:US
Mailing Address - Phone:281-298-0494
Mailing Address - Fax:
Practice Address - Street 1:7 ANTIQUE ROSE CT
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77382-7013
Practice Address - Country:US
Practice Address - Phone:281-298-0494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-14
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15675235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist