Individual
MY DUYEN MIKEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
150 BEECHMONT DR NE, CORYDON, IN 47112-1717
(812) 738-0550
Mailing address
425 S HUBBARDS LN APT 27, LOUISVILLE, KY 40207-4076
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46004053A
IN
Other
Enumeration date
05/21/2021
Last updated
09/04/2022
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