Individual
MICHELLE K LINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2625 E SAINT LOUIS AVE, LAS VEGAS, NV 89104-4200
(702) 799-7437
Mailing address
445 PETAL DEW AVE, LAS VEGAS, NV 89123-4288
(813) 784-1487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1092
NV
Other
Enumeration date
05/22/2007
Last updated
02/20/2019
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