PENNY MICKAN

GEORGETOWN, TX
NPI1376909127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  13962)
Enumeration Date2016-01-10
Last Update Date2016-01-10
Business Address
Mrs. PENNY MICKAN M.S.
4402 WILLIAMS DR
GEORGETOWN, TX 78628-1300
Phone number: 512-256-7627
Mailing Address
Mrs. PENNY MICKAN M.S.
30230 OAKMONT DR
GEORGETOWN, TX 78628-1109
Phone number: 512-869-4536