Eileen Barris Mickelson in Lufkin - Speech-language Pathologist
Eileen Barris Mickelson - NPI 1275739187
Eileen Barris Mickelson is a Speech-language Pathologist in Lufkin, Texas. Eileen Barris Mickelson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Eileen Barris Mickelson is 1275739187. The last update date is 2010-07-06.
Eileen Barris Mickelson's current location address is 402 S John Redditt Dr, Lufkin, Texas. You can contact this provider via phone number 9366322107 and fax number 9366322108. The mailing address for Eileen Barris Mickelson is 402 S John Redditt Dr, Lufkin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eileen Barris Mickelson |
|---|---|
| Address | 402 S John Redditt Dr, Lufkin, Texas |
| Phone Number | 9366322107 |
| Fax Number | 9366322108 |
| Sole Proprietor | Y |
| Credentials | MA,SLP-CCC |
NPI Number Detail
| NPI Number | 1275739187 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2010-07-06 |
Provider Mailing Address Detail
| Address | 402 S John Redditt Dr |
|---|---|
| City | Lufkin |
| State | Texas (TX) |
| Post Code | 759043107 |
| Phone Number | 9366322107 |
| Fax Number | 9366322108 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
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Definition: 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. Spe |
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What is the unique identifier code issued to Eileen Barris Mickelson by the Centers for Medicare & Medicaid Services?
The Eileen Barris Mickelson has been assigned the NPI (National Provider Identifier) 1275739187. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Eileen Barris Mickelson?
The Eileen Barris Mickelson is situated at 402 S John Redditt Dr, in the city of Lufkin, state of TX, with the zip code 759043107.
What is Eileen Barris Mickelson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eileen Barris Mickelson's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date did the Eileen Barris Mickelson receive the assignment of its 1275739187 from the Centers for Medicare & Medicaid Services?
The Eileen Barris Mickelson was issued its 1275739187 by the Centers for Medicare & Medicaid Services on 2007-06-26.
When was the information pertaining to Eileen Barris Mickelson most recently updated or revised?
The details related to Eileen Barris Mickelson, including its address, specialty, and other relevant information, were last updated or revised on 2010-07-06.