Debra Kay Mikkelsen, MS CCC SLP
Speech-Language Pathologist, in Tempe, AZ. Individual provider (NPI-1).
NPI number1003974775
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1003974775
- Entity type
- Individual (NPI-1)
- Name
- Ms. Debra Kay Mikkelsen
- Credential
- MS CCC SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP0239 | AZ | Yes |
Practice location
625 W Cornell DrTempe, AZ 85283
Phone 480-897-6233 · Fax 480-838-0061
Mailing address
3115 S Harl AveTempe, AZ 85282
Phone 480-221-9502 · Fax 480-838-0061
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 246 Speech-Language Pathologist providers in Tempe · All 6,246 providers in Tempe
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