Basic Information
| Provider Information | |||||||||
| NPI: | 1508346206 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MILLER | ||||||||
| FirstName: | HOPE | ||||||||
| MiddleName: | HEARON | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1104 MULE DEER RD | ||||||||
| Address2: | |||||||||
| City: | FORNEY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 751265087 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9135687929 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1351 S ELM ST | ||||||||
| Address2: | |||||||||
| City: | KEMP | ||||||||
| State: | TX | ||||||||
| PostalCode: | 751437713 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9034988073 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2018 | ||||||||
| LastUpdateDate: | 08/21/2018 | ||||||||
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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 | 112673 | TX | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.