Individual
ANGELICA MICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A, CF-SLP
Contact information
Practice address
5301 PROVIDENCE RD STE 80&90, VIRGINIA BEACH, VA 23464-4128
(757) 467-4604
Mailing address
PO BOX 412307, BOSTON, MA 02241-2307
(888) 830-4125
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204001016
VA
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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