Individual provider · Type 1 NPI

Debra Mikkelson, MA, CCC-SLP

Speech-Language Pathologist · Leavenworth, KS

NPI number 1104386390 Active

Practice location

3501 New Lawrence Rd
Leavenworth, KS 66048-5223

Call (913) 246-1078 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X1386 (KS)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1104386390

Debra Mikkelson, MA, CCC-SLP's National Provider Identifier is 1104386390, issued on Mar 22, 2019. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Leavenworth, KS. The record was last updated on Nov 27, 2023.