Karissa Deanne Miller

NPI 1740436302 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1740436302
Gender Female
Enumeration Date 08/14/2008
Last Updated 08/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1110 CALL CREEK DR STE 7
POCATELLO ID, 83201-3072, US
Phone (208) 410-7670
Fax
Business Location
2510 WOODHILL WAY
POCATELLO ID, 83201-2635, US
Phone (208) 410-7670
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Idaho
License Number SLP-1670
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According to our database, Karissa Deanne Miller NPI is 1740436302, taxonomy code is 235Z00000X and license number is SLP-1670, license state is located at Idaho. Karissa Deanne Miller physically located at 1110 Call Creek Dr Ste 7, Pocatello ID, 83201-3072. NPI Number Karissa Deanne Miller has the Individual type.

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1740436302 NPI number is provided on an as is basis without warranty of any kind. 1740436302 is maintained by the National Plan & Provider Enumeration System. The contents of Karissa Deanne Miller are for informational purposes only.