Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Debra Mikkelson, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1104386390

Debra Mikkelson, MA, CCC-SLP is a Speech-Language Pathologist in Leavenworth, Kansas. Licensed in Kansas. Registered with an NPI since 2019.

Licensed in
KS
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3501 New Lawrence Rd
Leavenworth, KS 66048-5223
Phone: (913) 246-1078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 1386 (KS)

Record details

NPI number1104386390
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESNovember 27, 2023

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