Most Relevant Information
Provider Data
| NPI Number: | 1003040866 |
| Provider Name: | LAURA S MIKKOLA MS. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 8248 |
Most Important Dates
| Enumeration Date: | 05/08/2009 |
| Last Updated: | 04/11/2013 |
Provider Practice Location
103 FREHOLD CT
CARY
NC
275197372
Practice Location Phone/Fax
| Phone: | 9194654424 |
| Fax: | 9194654427 |
Provider Mailing Location
103 FREHOLD CT
CARY
NC
275197372
Provider Mailing Phone/Fax
| Phone: | 9194654424 |
| Fax: | 9194654427 |