Most Relevant Information
Provider Data
| NPI Number: | 1003249921 |
| Provider Name: | PHILLIP MICAN ERKKILA M.A. CF-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SZ 6209 |
Most Important Dates
| Enumeration Date: | 08/14/2013 |
| Last Updated: | 08/14/2013 |
Provider Practice Location
950 PENINSULA CORPORATE CIR
SUITE 1014
BOCA RATON
FL
334871378
Practice Location Phone/Fax
| Phone: | 5619946590 |
| Fax: |
Provider Mailing Location
1111 WESTWOOD AVE
KINGSFORD
MI
498026601
Provider Mailing Phone/Fax
| Phone: | 9063961764 |
| Fax: |