MRS. PENNY MICKAN


Address: 4402 Williams Dr, Georgetown, TX 78628-1300
Phone: 5122567627

MRS. PENNY MICKAN (NPI# 1376909127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376909127
Entity Type Individual
Full Name MRS. PENNY MICKAN
Credential M.S.
Practice Address 4402 Williams Dr
Georgetown
TX 78628-1300
Mailing Address 30230 Oakmont Dr
Georgetown
TX 78628-1109
Practice Telephone 5122567627
Mailing Telephone 5128694536
Enumeration Date 2016-01-10
Last Update Date 2016-01-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 13962 TX Speech, Language and Hearing Service Providers

Office Location

Street Address 4402 WILLIAMS DR
City GEORGETOWN
State TX
Zip Code 78628-1300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366613978 Travis Reed Hildebrand Dentist 4402 Williams Dr, Ste 106, Georgetown, TX 78628-1341 2008-03-22
1316508484 Mihaela Akinwande Behavior Technician 4402 Williams Dr, Georgetown, TX 78628-1300 2019-06-27
1386163426 Calli Rae Blaschke Physical Medicine & Rehabilitation 4402 Williams Dr, Georgetown, TX 78628-1300 2017-09-10
1598205999 Allyson Coe Occupational Therapist 4402 Williams Dr, Suite 115, Georgetown, TX 78628-1300 2017-03-03
1033538921 All Care Therapies of Georgetown Pllc Clinic/Center 4402 Williams Dr, #115, Georgetown, TX 78628-1300 2014-04-08
1619237062 Torres Dental Specialties Pllc Dentist 4402 Williams Dr, Suite #104, Georgetown, TX 78628-1300 2012-05-19
1588836183 Kenneth Seely Havard Dentist 4402 Williams Dr, Suite 106, Georgetown, TX 78628-1341 2008-03-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164079760 Maegan Marissa Milliet Student in an Organized Health Care Education/Training Program 302 Rideg Run Dr, Georgetown, TX 78628 2019-08-20
1366918419 Harold F. Adelman, M.d, Pllc Clinic/Center 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 2018-10-16
1679085401 Georgetown Emergency Physicians Pllc Clinic/Center 1210 W University Blvd, Georgetown, TX 78628 2017-11-02
1134631450 Meredith Rollins Hatcher Physician Assistant 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 2017-10-26
1588188304 Wolf Ranch Dental Group, PC Dentist 1135 West University Avenue, Georgetown, TX 78628 2017-08-02
1982066528 Imren Ozturk Family Medicine Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 2016-03-23
1093114100 Della Davis Hearing Instrument Specialist 1013 W. University Ave, Suite 122, Georgetown, TX 78628 2014-08-14
1083988125 Deann Reinshuttle Audiologist-Hearing Aid Fitter 3316 Williams Dr Ste 115, Georgetown, TX 78628 2012-03-07
1700195823 Zeyad B Mughrabi Dentist 1615 Williams Dr, Georgetown, TX 78628 2010-10-07
1497071534 Jeri Lynne Manhal Counselor 1618 Williams Dr., Suite 4, Georgetown, TX 78628 2010-04-14
Find all providers in zip 78628

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508483629 Katelyn Flynt Slone Speech-Language Pathologist 115 N Water St Ste 2, Georgetown, KY 40324-1334 2020-07-06
1487279188 Jessica Theresa Loera Speech-Language Pathologist 417 Windom Way, Georgetown, TX 78626-2390 2020-06-09
1366066722 Rebecca Mary Halley Speech-Language Pathologist 285 Se Inner Loop Ste 108, Georgetown, TX 78626-2139 2020-06-02
1093355307 Lucinda Clay Middaugh Speech-Language Pathologist 105 Prater Dr, Georgetown, KY 40324-8663 2020-01-14
1306327937 Andi Tucker Miller Speech-Language Pathologist 221 Bluestem Dr, Georgetown, TX 78633-5491 2018-08-22
1306324124 Suparna Chakraborti Speech-Language Pathologist 603 Lakeway Dr, Georgetown, TX 78628-2843 2018-08-02
1861922544 Valerie Paige Blakely Speech-Language Pathologist 1837 N Fraser St, Georgetown, SC 29440-7758 2017-06-15
1164953592 Rachael Beebe Henry Speech-Language Pathologist 327 Meeting St, Georgetown, SC 29440-3749 2017-03-27
1811351018 Bethany Dean Speech-Language Pathologist 911 Madrone Dr, Georgetown, TX 78628-4010 2016-04-13
1699137323 Patsy Wilson Speech-Language Pathologist 702 S Hamilton St, Georgetown, KY 40324-1504 2016-03-22
Find all providers in GEORGETOWN

Competitor

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City GEORGETOWN
Zip Code 78628

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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