Provider Demographics
NPI:1215331764
Name:MILLER IV, DANIEL ADLAI (CCC-SLP)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ADLAI
Last Name:MILLER IV
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16770 NE 79TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-4413
Mailing Address - Country:US
Mailing Address - Phone:765-476-3108
Mailing Address - Fax:
Practice Address - Street 1:16770 NE 79TH ST STE 105
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-4413
Practice Address - Country:US
Practice Address - Phone:425-689-8570
Practice Address - Fax:425-689-7521
Is Sole Proprietor?:No
Enumeration Date:2014-10-13
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60478465235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist