Individual
MS. DEBRA KAY MIKKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
625 W CORNELL DR, TEMPE, AZ 85283
(480) 897-6233
(480) 838-0061
Mailing address
3115 S HARL AVE, TEMPE, AZ 85282
(480) 221-9502
(480) 838-0061
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0239
AZ
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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