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Active NPI 1104386390 Individual Practitioner Female Practitioner

Debra Mikkelson , MA, CCC-SLP

Speech-Language Pathologist • Leavenworth, KS

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Debra Mikkelson, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Leavenworth, KS. Official NPI practice address is registered at 3501 NEW LAWRENCE RD.

Practice Location & Contact Primary Location

Practice Address

3501 New Lawrence Rd

Leavenworth, KS 660485223

Telephone 9132461078

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Leavenworth, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.3 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
22 Specialists

Practicing in Leavenworth, KS (1513 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License KS 1386

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. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 22, 2019

NPI status registered as active in NPPES database

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Updated Practice Location March 22, 2019

Registered at 3501 NEW LAWRENCE RD, LEAVENWORTH, KS 660485223 (Tel: 9132461078)

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Updated Business Mailing Address March 22, 2019

Registered at 3501 NEW LAWRENCE RD, LEAVENWORTH, KS 660485223 (Tel: 9136841530)

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Provider Name / Credentials Updated March 22, 2019

Recorded as DEBRA MIKKELSON, MA,CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2019

Speech-Language Pathologist (License #1386 in KS)

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Initial NPI Registration & Enumeration March 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104386390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2019
Last Update: November 27, 2023
Sole Proprietor: No

Mailing Address

3501 New Lawrence Rd

Leavenworth, KS 660485223

Phone: 9136841530

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.