Provider Demographics
NPI:1841834165
Name:MILLER, RACHEL ADRIENNE (MA, CCC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ADRIENNE
Last Name:MILLER
Suffix:
Gender:
Credentials:MA, CCC
Other - Prefix:
Other - First Name:MILLER
Other - Middle Name:
Other - Last Name:RACHEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-0749
Mailing Address - Country:US
Mailing Address - Phone:704-869-2088
Mailing Address - Fax:
Practice Address - Street 1:113 W BROAD ST
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-5257
Practice Address - Country:US
Practice Address - Phone:980-495-8720
Practice Address - Fax:980-759-0590
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-30
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13591235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist