MEDICARE: HALLE LAYNE MILLER SLPA

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	2355S0801X	Speech-Language Assistant	203532	AR

General Provider Information

NPI Number	:	1861328924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALLE LAYNE MILLER SLPA

Provider Business Mailing Address
First Line	:	802 E WATKINS AVE
Second Line	:
City	:	HARRISON
State	:	AR
Zip	:	72601-3862
Country	:	US
Telephone Number	:	870-754-9404
Fax Number	:

Provider Business Practice Location Address
First Line	:	916 GOBLIN DR
Second Line	:
City	:	HARRISON
State	:	AR
Zip	:	72601-8885
Country	:	US
Telephone Number	:	870-654-3869
Fax Number	:	870-505-2016

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

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

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Directions to “ HALLE LAYNE MILLER SLPA” Practice Location

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