Most Relevant Information
Provider Data
| NPI Number: | 1003198821 |
| Provider Name: | STEPHANIE MILLER MS CCC/SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 0097321 |
Most Important Dates
| Enumeration Date: | 09/19/2011 |
| Last Updated: | 09/19/2011 |
Provider Practice Location
101 FIREPLACE NECK RD
BROOKHAVEN
NY
117199796
Practice Location Phone/Fax
| Phone: | 6317301702 |
| Fax: |
Provider Mailing Location
101 FIREPLACE NECK RD
BROOKHAVEN
NY
117199796
Provider Mailing Phone/Fax
| Phone: | 6317301702 |
| Fax: |