Provider Demographics
NPI:1023754645
Name:MILLER, ERIC ROBERT (MA CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:ROBERT
Last Name:MILLER
Suffix:
Gender:M
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3920 MICKEY GILLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3005
Mailing Address - Country:US
Mailing Address - Phone:713-740-5693
Mailing Address - Fax:
Practice Address - Street 1:3920 MICKEY GILLEY BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3005
Practice Address - Country:US
Practice Address - Phone:713-740-5693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-06
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112745235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist