Provider Demographics
NPI:1528219565
Name:MIKHELSON, ZORINA ELSIE (AUD)
Entity Type:Individual
Prefix:DR
First Name:ZORINA
Middle Name:ELSIE
Last Name:MIKHELSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8380 OLD YORK RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1539
Mailing Address - Country:US
Mailing Address - Phone:215-780-3180
Mailing Address - Fax:
Practice Address - Street 1:8380 OLD YORK RD
Practice Address - Street 2:SUITE 120
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1539
Practice Address - Country:US
Practice Address - Phone:215-780-3180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006096231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist