Provider Demographics
NPI:1336546316
Name:MILLER, LAURA A (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:A
Other - Last Name:STRIZEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:6101 NORMAL BLVD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2167
Mailing Address - Country:US
Mailing Address - Phone:402-489-7175
Mailing Address - Fax:402-489-5684
Practice Address - Street 1:6101 NORMAL BLVD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2767
Practice Address - Country:US
Practice Address - Phone:402-489-7175
Practice Address - Fax:402-489-5684
Is Sole Proprietor?:No
Enumeration Date:2014-11-19
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE448235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist