Individual
HALEY LYNN MICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-3890
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-6344
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
10/21/2020
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