Individual
STEPHANIE MIKESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 COHO ST, SUITE 300, MADISON, WI 53713-4574
(608) 273-3232
(608) 273-3426
Mailing address
2801 COHO ST, SUITE 300, MADISON, WI 53713-4574
(608) 273-3232
(608) 273-3426
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
403-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42611700
—
WI
Enumeration date
06/19/2007
Last updated
07/08/2007
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