Individual
MICAELA CORNIS-POP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD, CCC-SLP
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5046
(804) 675-5093
Mailing address
1504 SUNSET LN, RICHMOND, VA 23221-3931
(804) 213-0764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001750
VA
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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