MEDICARE: ALDEN LEA MILEGER

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	121753	TX

General Provider Information

NPI Number	:	1740067297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALDEN LEA MILEGER

Provider Business Mailing Address
First Line	:	1509 CANADIAN TRL
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75023-4317
Country	:	US
Telephone Number	:	216-263-6726
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 PEGASUS PARK DR UNIT 1100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75247-6203
Country	:	US
Telephone Number	:	469-621-8500
Fax Number	:

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

Provider Enumeration Date	:	09/08/2023
Last Update Date	:	07/30/2024

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Directions to “ ALDEN LEA MILEGER ” Practice Location

Language	Start Address	Practice Location

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