Mikkelson, Debra
Mikkelson, Debra is an individual health care provider with primary practice located at 3501 New Lawrence Rd , Leavenworth KS 66048-5223. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mikkelson, Debra can be contacted via phone (913) 246-1078.Contact Information
Primary practice address
3501 New Lawrence Rd
Leavenworth KS 66048-5223
Phone: (913) 246-1078
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1386 | Kansas |
Profile Details
| NPI number | 1104386390 |
|---|---|
| LBN Legal business name | Mikkelson, Debra |
| Credentials | MA,CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2019 |
| Last updated | Nov 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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