Individual
MRS. JILL MICHALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B. S.
Contact information
Practice address
3843 W ROOSEVELT ST, PHOENIX, AZ 85009-3206
(602) 442-2300
Mailing address
4331 E WALATOWA ST, PHOENIX, AZ 85044-1518
(602) 442-2300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
589707
AHCCCS ID
AZ
Enumeration date
02/20/2007
Last updated
07/26/2007
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