Dorinda Alyce Miller, MA, CCC-SLP, CDP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2008029071 Issued in MO

Practice address

2702 Debbie LN
Poplar Bluff, MO 63901-2650

Phone

(573) 686-5242

NPI assigned

Feb 24, 2022

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1982350278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13613 COUNTY ROAD 468",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638418364",
            "telephone_number": "573-625-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 DEBBIE LN",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012650",
            "telephone_number": "573-686-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DORINDA",
        "middle_name": "ALYCE",
        "name_prefix": "Miss",
        "credential": "MA, CCC-SLP, CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2008029071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Dale Milam, APRN
• Bryan Coty Miles
• Anita Miller, FNP-C
• Ashley Miller
• David Lee Miller, MS, LPC
• Lavona Lynn Miller, LPC
• Megan Nicole Miller
• Robyn Ellen Miller
• Shannon Michele Miller
• William Patrick Miller, LCSW

• Speech-Language Pathologist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.