Individual
MRS. KAREN DENISE MICHELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
12052 N SHORE DR, RESTON, VA 20190-4969
(703) 481-0528
Mailing address
1212 WILD HAWTHORN WAY, RESTON, VA 20194-1021
(571) 926-9506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005854
VA
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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