Provider Demographics
NPI:1265775753
Name:MILLER, JENNIFER OWEN (MT-BC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:OWEN
Last Name:MILLER
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:OWEN
Other - Last Name:DUNLAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MT-BC
Mailing Address - Street 1:2970 S PONTIAC ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2710
Mailing Address - Country:US
Mailing Address - Phone:303-596-4845
Mailing Address - Fax:
Practice Address - Street 1:2970 S PONTIAC ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2710
Practice Address - Country:US
Practice Address - Phone:303-596-4845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist