Most Relevant Information
Provider Data
| NPI Number: | 1003021122 |
| Provider Name: | CATHERINE A MICKELSON SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | LL00001423 |
Most Important Dates
| Enumeration Date: | 05/11/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
400 S 43RD ST
RENTON
WA
980555714
Practice Location Phone/Fax
| Phone: | 4252515165 |
| Fax: | 4256564028 |
Provider Mailing Location
400 S 43RD ST
RENTON
WA
980555714
Provider Mailing Phone/Fax
| Phone: | 4252515165 |
| Fax: | 4256564028 |