Individual
MRS. MIKHAELA CHRISTINE CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10401 N 63RD AVE, GLENDALE, AZ 85302-1114
(623) 412-4775
Mailing address
10401 N 63RD AVE, GLENDALE, AZ 85302-1114
(623) 412-4775
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP12880
AZ
Other
Enumeration date
08/08/2024
Last updated
08/15/2025
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