Doctor Name: | MS. PAGE NORRIS MIKOL |
NPI Number: | 1144406307 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MAED, CCC-SLP |
License Number: | 1910 |
Business Practice Address: | 3407 W Wendover Ave Ste H Greensboro, NC - 274071584 |
Business Phone Number: | 3362972180 |
Business Fax Number: | 3362972181 |
Mailing Address: | 4900 Waters Edge Dr, Suite 250 RALEIGH |
State: | NC |
Postal Code: | 276062463 |
Phone Number: | 9192337075 |
Fax Number: | 9192337081 |
NPI Enumeration Date: | 01/17/2008 |
NPI Last Update Date: | 05/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1910 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |