Individual provider · Type 1 NPI

Hailey Jilleen Mickelsen

Speech-Language Assistant · Phoenix, AZ

NPI number 1376813402 Active

Practice location

352 E Camelback Rd, Suite 102
Phoenix, AZ 85012-1646

Fax (602) 277-5042

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XSLPA7535 (AZ)

Speech-Language Assistant: Definition to come...

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About NPI 1376813402

Hailey Jilleen Mickelsen's National Provider Identifier is 1376813402, issued on Jan 5, 2012. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 5, 2012.