Individual
MRS. MICHELLE PEARL MENEFEE-DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
601 MAIN ST, CLIFTON FORGE, VA 24422
(540) 863-1620
(540) 863-1625
Mailing address
251 W RIVERSIDE ST, COVINGTON, VA 24426-1216
(540) 960-0275
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12004019
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004978358
—
VI
01
—
208195
ANTHEM BCBS
VA
01
—
541217983
TAX ID
VA
Enumeration date
09/06/2006
Last updated
06/12/2018
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