Individual
MRS. SHELLY JEANNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCC-SLP
Contact information
Practice address
8111 TIS WELL DR, ALEXANDRIA, VA 22306-3211
(703) 360-4000
Mailing address
915 S SAINT ASAPH ST, ALEXANDRIA, VA 22314-4346
(703) 549-6397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002616
VA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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