Provider Demographics
NPI:1861526618
Name:MILLER, TAWNYA LYNETTE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:TAWNYA
Middle Name:LYNETTE
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 STONEHENGE DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2342
Mailing Address - Country:US
Mailing Address - Phone:254-698-4398
Mailing Address - Fax:
Practice Address - Street 1:2003 STONEHENGE DR
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-2342
Practice Address - Country:US
Practice Address - Phone:254-220-3618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19760235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist