Jennifer Dorothy Miller, MS CCC-SLP | |
7624 Executive Dr, Eden Prairie, MN 55344-3677 | |
(952) 944-0240 | |
(952) 944-0241 |
Full Name | Jennifer Dorothy Miller |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 7624 Executive Dr, Eden Prairie, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013690668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 528353 (Minnesota) | Primary |
Provider Name | Family Achievement Center Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952411175 PECOS PAC ID: 6800795444 Enrollment ID: O20040102000720 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Dorothy Miller, MS CCC-SLP 7475 Flying Cloud Dr Apt 206, Eden Prairie, MN 55344-3729 Ph: (612) 483-9695 | Jennifer Dorothy Miller, MS CCC-SLP 7624 Executive Dr, Eden Prairie, MN 55344-3677 Ph: (952) 944-0240 |
Natasha Agha, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8307 Kimball Dr, Eden Prairie, MN 55347 Phone: 612-324-9111 Fax: 612-445-9223 | |
Ms. Margaret Elizabeth Dvergsten-kitzrow, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6542 Kingfisher Ln, Eden Prairie, MN 55346 Phone: 712-291-6721 | |
Mackenzie Wood, CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6458 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-767-6977 | |
Kendra Vander Linden, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7570 Market Place Dr, Eden Prairie, MN 55344 Phone: 952-944-0240 | |
Anna Gavin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6409 City West Pkwy Ste 206, Eden Prairie, MN 55344 Phone: 952-230-8173 | |
Isabel R St Dennis, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6409 City West Pkwy Ste 206, Eden Prairie, MN 55344 Phone: 952-500-8871 Fax: 612-778-1588 |