IndividualActive
Debra Mikkelsen, MS CCC SLP
NPI 1003974775 · Speech-Language Pathologist · Tempe, AZ
Provider details
- NPI number
- 1003974775
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS CCC SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SLP0239 (AZ)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
625 W Cornell Dr
Tempe, AZ 85283
Phone: (480) 897-6233
Fax: (480) 838-0061
Street-level locationGet directions
Mailing address
3115 S Harl Ave
Tempe, AZ 85282
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.