Miller, Tina
Miller, Tina is an sole proprietor health care provider with primary practice located at 332 Brookcrest Cir , Rockledge FL 32955-4749. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Miller, Tina can be contacted via phone (321) 636-9796.Contact Information
Primary practice address
332 Brookcrest Cir
Rockledge FL 32955-4749
Phone: (321) 636-9796
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA2960 | Florida |
Profile Details
| NPI number | 1083771059 |
|---|---|
| LBN Legal business name | Miller, Tina |
| Credentials | M.A., CCC, SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Oct 13th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083771059 | NPPES |
| Florida | MEDICAID | 882247600 |
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