Healthcare Provider Details

I. General information

NPI: 1689584450
Provider Name (Legal Business Name): GRACE ELIZABETH MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 HELPING HAND LN
SCHENECTADY NY
12302-5801
US

IV. Provider business mailing address

18 RUSSELL ST APT 1
SARATOGA SPRINGS NY
12866-1345
US

V. Phone/Fax

Practice location:
  • Phone: 518-384-3020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number037060
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: