Individual
HALEY MICSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CF-SLP
Contact information
Practice address
1925 STRATFORD WAY, COLUMBUS, OH 43219-2946
(614) 365-6132
Mailing address
1925 STRATFORD WAY, COLUMBUS, OH 43219-2946
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20201382-SP
OH
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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