Individual
NATALIE MIZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
14800 W SAINT TERESA ST, WICHITA, KS 67235-9602
(316) 796-7138
(316) 796-7149
Mailing address
14800 W SAINT TERESA ST, WICHITA, KS 67235-9602
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4393
KS
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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