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

Mr. Soren B Mickelsen, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1902424179

Mr. Soren B Mickelsen, MA, CCC-SLP is a Speech-Language Pathologist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-1000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP11576 (AZ)

Record details

NPI number1902424179
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedJuly 13, 2020
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025

Other providers in Phoenix