Basic Information
| Provider Information | |||||||||
| NPI: | 1386818771 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MILLER | ||||||||
| FirstName: | DEOBRA | ||||||||
| MiddleName: | LEIGH | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MED CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 326 W. CENTER ST. | ||||||||
| Address2: | |||||||||
| City: | LEIPSIC | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45856 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4199432558 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 240 NORTHCREST DR | ||||||||
| Address2: | |||||||||
| City: | NAPOLEON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 43545 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4195994070 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/16/2008 | ||||||||
| LastUpdateDate: | 04/16/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SP7851 | OH | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.