Hailey Jilleen Mickelsen
Specialist/Technologist, Speech-Language Assistant in Phoenix, AZ. Individual provider (NPI-1).
NPI number1376813402
StatusActive
Last updated in NPPESJan 5, 2012
Details
- NPI
- 1376813402
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Hailey Jilleen Mickelsen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2012
- Last updated
- Jan 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | SLPA7535 | AZ | Yes |
Practice location
352 E Camelback RdSuite 102
Phoenix, AZ 85012-1646
Phone 602-212-9000 · Fax 602-277-5042
Mailing address
352 E Camelback RdSuite 102
Phoenix, AZ 85012-1646
Phone 602-212-9000
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