Provider Demographics
NPI:1336594837
Name:MILLER, ELIZABETH STEVENS (MS, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:STEVENS
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS, CCC/SLP
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Mailing Address - Street 1:101 WATERMERE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-8116
Mailing Address - Country:US
Mailing Address - Phone:817-337-7600
Mailing Address - Fax:877-863-6021
Practice Address - Street 1:5720 LBJ FWY
Practice Address - Street 2:SUITE 190
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6328
Practice Address - Country:US
Practice Address - Phone:817-337-7600
Practice Address - Fax:817-337-7622
Is Sole Proprietor?:No
Enumeration Date:2016-05-03
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX104943235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist