Ryan Miceli

Speech-Language Pathologist · Petoskey, MI

Individual Active NPI

NPI number 1770021149

Practice location

2206 Mitchell Park Dr
Suite 14
Petoskey, MI 49770-8674
Phone
(231) 348-7777

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NPI record

NPI
1770021149
Entity type
Individual (Type 1)
Enumeration date
February 6, 2017
Last updated
February 6, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 7101005418 MI

Mailing address

208 E Sheridan St
Apt 6
Petoskey, MI 49770-2956
Phone
(248) 762-8418

About Ryan Miceli

Ryan Miceli is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 2206 Mitchell Park Dr, Suite 14, Petoskey, MI 49770-8674. The NPI number 1770021149 was assigned on February 6, 2017 and the record was last updated on February 6, 2017.

Ryan Miceli lists a license in the registry: #7101005418 (MI) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan Miceli?

The NPI number is 1770021149.

What is the phone number of Ryan Miceli?

The phone number listed for the practice location is (231) 348-7777.

Where is Ryan Miceli located?

2206 Mitchell Park Dr, Suite 14, Petoskey, MI 49770-8674.

What is the taxonomy code for Ryan Miceli?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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