Healthcare Provider Details

I. General information

NPI: 1427983097
Provider Name (Legal Business Name): DIAMOND STATE AUDIOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5910 C ST
LITTLE ROCK AR
72205-3320
US

IV. Provider business mailing address

5910 C ST
LITTLE ROCK AR
72205-3320
US

V. Phone/Fax

Practice location:
  • Phone: 501-490-9191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANA MILLER
Title or Position: AUDIOLOGIST/CO-OWNER
Credential: AUD
Phone: 501-297-3581