Provider Demographics
NPI:1740067297
Name:MILEGER, ALDEN LEA
Entity type:Individual
Prefix:
First Name:ALDEN
Middle Name:LEA
Last Name:MILEGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 CANADIAN TRL
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-4317
Mailing Address - Country:US
Mailing Address - Phone:216-263-6726
Mailing Address - Fax:
Practice Address - Street 1:3000 PEGASUS PARK DR UNIT 1100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-6203
Practice Address - Country:US
Practice Address - Phone:469-621-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-08
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121753235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist