Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Reese Micinski, SLP

Individual provider Speech-Language Pathologist · NPI 1730581000

Mary Reese Micinski, SLP is a Speech-Language Pathologist in Lebanon, Tennessee. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

241 Meandering Dr
Lebanon, TN 37090-1557
Phone: (615) 893-2313
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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

Record details

NPI number1730581000
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedSeptember 18, 2014
Last updated in NPPESOctober 3, 2014

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