Provider / Organization | NPI | Date Certified |
---|---|---|
MIKAYLA SANDUSKY | 1255151452 | 2024-10-12 |
Mikayla Sandusky is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1255151452. Registration indicates Mikayla Sandusky is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)
Entity Type | Individual |
Provider Name | Mikayla Sandusky MS CF SLP |
Practice Office Address | 370 FOLKSTONE RD HOLLY RIDGE, NC US |
Practice Office Telephone | 9104552448 |
Mailing Address | 138 IVES DR HOT SPRINGS NATIONAL PARK, AR 719139837 US |
Business Telephone | 8708187886 |
Code | Practice | License No State |
---|---|---|
235Z00000X PRIMARY | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers | 30003363
NC |