Theresa Miller

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

025292 Issued in NY

Practice address

339 W 3Rd St
Corning, NY 14830-2303

Phone

(607) 329-3222

NPI assigned

Jan 10, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1700322195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 W 3RD ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302303",
            "telephone_number": "607-329-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W 3RD ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302303",
            "telephone_number": "607-329-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolie Merrill, LCSW
• Michele a Pavillard D.O.
• Karleena Marie Mickle, FNP
• Andrew Miller, M.D.
• Katy Elizabeth Miller, PA-C
• Stephen J Mitchell, PHARM.D.
• Sulemana Mohammed
• Jaime L Molina-Marinez, M.D.
• Lyndsey Gale Moore, PA-C
• Lee M. Moran, M.S., CCC-SLP

• Speech-Language Pathologist in Corning, NY
• Providers in Corning, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.