Provider Demographics
NPI:1639960909
Name:PRYOR, MIRANDA STERLING (SLP-ASSTIANT)
Entity type:Individual
Prefix:
First Name:MIRANDA
Middle Name:STERLING
Last Name:PRYOR
Suffix:
Gender:F
Credentials:SLP-ASSTIANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2134 DODGE DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3391
Mailing Address - Country:US
Mailing Address - Phone:979-220-4498
Mailing Address - Fax:
Practice Address - Street 1:2134 DODGE DR
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3391
Practice Address - Country:US
Practice Address - Phone:979-220-4498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX431392355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant