Individual
JANINE A SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5604 VIRGINIA BEACH BLVD STE 101, VIRGINIA BEACH, VA 23462-5631
(757) 455-5000
(757) 319-4142
Mailing address
5604 VIRGINIA BEACH BLVD STE 101, VIRGINIA BEACH, VA 23462-5631
(757) 455-5000
(757) 319-4142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000321
VA
235Z00000X
Speech-Language Pathologist
SLP010832
GA
Other
Enumeration date
07/10/2020
Last updated
09/08/2020
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