# MR. BERNARD VINCENT MICELI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548282635
- **Gender:** Man
- **Credential:** M.S., CCC-SLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 8283 | OH | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00906123 | ASHA | — |
| 01 | — | 8283 | STATE LICENSE | OH |