Individual
MICAELAH MARIE DE LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1353 E MAIN ST, BROWNSBURG, IN 46112-1433
(317) 294-5242
Mailing address
2688 GRASSY BRANCH DR, WHITESTOWN, IN 46075-0267
(765) 491-1929
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/24/2018
Last updated
01/05/2023
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