MEDICARE: MADISON MILLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SL018398	PA

General Provider Information

NPI Number	:	1154163269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON MILLER

Provider Business Mailing Address
First Line	:	9100 BABCOCK BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-5815
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	745 N HIGHLAND AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-2526
Country	:	US
Telephone Number	:	412-362-6622
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2024
Last Update Date	:	04/09/2026

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Directions to “ MADISON MILLER ” Practice Location

Language	Start Address	Practice Location

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