Provider Demographics
NPI:1578442091
Name:MARKOWSKI, MIKALA AI (BA, SLPA)
Entity type:Individual
Prefix:
First Name:MIKALA
Middle Name:AI
Last Name:MARKOWSKI
Suffix:
Gender:F
Credentials:BA, SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265B COUNTY ROAD 204
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32145-6005
Mailing Address - Country:US
Mailing Address - Phone:386-225-7503
Mailing Address - Fax:
Practice Address - Street 1:55 PLAZA DR # 6
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-8550
Practice Address - Country:US
Practice Address - Phone:386-346-0523
Practice Address - Fax:386-777-3863
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI81662355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant