Provider Demographics
NPI:1922310069
Name:MILLER, DANIEL JOSEPH (MS)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JOSEPH
Last Name:MILLER
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 ASH ST
Mailing Address - Street 2:BPS SPEECH DEPARTMENT, SCHOOL #12
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14204-1445
Mailing Address - Country:US
Mailing Address - Phone:716-864-8950
Mailing Address - Fax:
Practice Address - Street 1:33 ASH ST
Practice Address - Street 2:BPS SPEECH DEPARTMENT, SCHOOL #12
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14204-1445
Practice Address - Country:US
Practice Address - Phone:716-864-8950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015065235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist