Individual
MRS. MICKAELA LYNNE ELLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
9901 NW 143RD ST, YUKON, OK 73099-1335
(918) 261-6309
Mailing address
9901 NW 143RD ST, YUKON, OK 73099-1335
(918) 261-6309
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4761
OK
Other
Enumeration date
07/25/2017
Last updated
04/15/2025
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