MEDICARE: MRS. ASHLEY NICOLE MILLER MCD, CCC-SLP

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	14040475	AL

General Provider Information

NPI Number	:	1952735573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLEY NICOLE MILLER MCD, CCC-SLP

Provider Business Mailing Address
First Line	:	122 NORTH MALL
Second Line	:
City	:	TRUSSVILLE
State	:	AL
Zip	:	35173-1120
Country	:	US
Telephone Number	:	334-391-6597
Fax Number	:

Provider Business Practice Location Address
First Line	:	3140 CAHABA HEIGHTS RD
Second Line	:	SUITE 102
City	:	VESTAVIA
State	:	AL
Zip	:	35243-5243
Country	:	US
Telephone Number	:	205-969-8080
Fax Number	:

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

Provider Enumeration Date	:	08/30/2013
Last Update Date	:	08/30/2013

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Directions to “ MRS. ASHLEY NICOLE MILLER MCD, CCC-SLP” Practice Location

Language	Start Address	Practice Location

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