| Doctor Name: | MISS ANDREA LYNN MICK |
| NPI Number: | 1104039536 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC-SLP |
| License Number: | 3776 |
| Business Practice Address: | 3505 Lake Lynda Dr Suite 207 Orlando, FL - 328178324 |
| Business Phone Number: | 8778963660 |
| Business Fax Number: | |
| Mailing Address: | 1850 Bassett St, 921 DENVER |
| State: | CO |
| Postal Code: | 802021048 |
| Phone Number: | 8433673636 |
| Fax Number: | |
| NPI Enumeration Date: | 05/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3776 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | SC |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |