Provider Demographics
NPI:1811344724
Name:MILLER, SAVANNAH LYNNE (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:LYNNE
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:SAVANNAH
Other - Middle Name:LYNNE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, SLPA
Mailing Address - Street 1:2711 PALMER AVE APT D25
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-4598
Mailing Address - Country:US
Mailing Address - Phone:256-558-0236
Mailing Address - Fax:
Practice Address - Street 1:2711 PALMER AVE APT D25
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4598
Practice Address - Country:US
Practice Address - Phone:256-558-0236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-20
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1548352355S0801X
AZSLP123382355S0801X
COPSLP.0001085235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant