Individual
KATIE MICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
11279 PERRY HWY, SUITE 110, WEXFORD, PA 15090-9381
(724) 933-9270
Mailing address
27 BESTVIEW AVE, BESSEMER, PA 16112-9101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009300
PA
Other
Enumeration date
03/25/2009
Last updated
07/05/2011
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