Debra Mikkelson, MA,CCC-SLP
NPI #1104386390 in Leavenworth, Kansas
Provider Information
- NPI Number
- 1104386390
- Entity Type
- Individual
- Name
- Debra Mikkelson, MA,CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA,CCC-SLP
- Enumeration Date
- Mar 22, 2019
- Last Updated
- Nov 27, 2023
Practice Location
- Address
- 3501 NEW LAWRENCE RD
- City
- Leavenworth
- State
- Kansas
- ZIP Code
- 66048-5223
- Phone
- (913) 246-1078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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