Healthcare Provider Details

I. General information

NPI: 1780883967
Provider Name (Legal Business Name): SARAH LEANNE MILLER MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS SARAH ELSEN

II. Dates (important events)

Enumeration Date: 07/17/2007
Last Update Date: 11/06/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 26TH AVE NW
NORMAN OK
73069-6367
US

IV. Provider business mailing address

1300 MCGEE DRIVE, SUITE 113
NORMAN OK
73072-5858
US

V. Phone/Fax

Practice location:
  • Phone: 405-308-9120
  • Fax:
Mailing address:
  • Phone: 405-366-7898
  • Fax: 405-366-0010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3429
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: