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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 13962 | TX | Speech, Language and Hearing Service Providers |
Street Address |
4402 WILLIAMS DR |
City | GEORGETOWN |
State | TX |
Zip Code | 78628-1300 |
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 |
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 Code | 235Z00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Speech-Language Pathologist |
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. |
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 |
City | GEORGETOWN |
Zip Code | 78628 |
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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.