MRS. Lisa Ilene Mickle, SLP,CCC
NPI #1003192766 in Dix Hills, New York
Provider Information
- NPI Number
- 1003192766
- Entity Type
- Individual
- Name
- MRS. Lisa Ilene Mickle, SLP,CCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP,CCC
- Enumeration Date
- Oct 26, 2011
- Last Updated
- Oct 26, 2011
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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