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

Individual provider Speech-Language Pathologist · NPI 1639754708

Mrs. Adrian Mamikonian, MA, CCC-SLP is a Speech-Language Pathologist in Lakeland, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2021
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

10212 Cedar Elm Dr
Lakeland, TN 38002-5170
Phone: (858) 342-9427
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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 7344 (TN)

Record details

NPI number1639754708
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedMarch 10, 2021
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021

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