Individual
HALEY ELIZABETH MIKKELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42415 NORTHVILLE PLACE DR, NORTHVILLE, MI 48167-3100
(401) 742-8307
Mailing address
42415 NORTHVILLE PLACE DR, NORTHVILLE, MI 48167-3100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152001389
MI
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
06/05/2026
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