Individual
MICHELLE ANN ICKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2030 COLONIAL AVE SW, ROANOKE, VA 24015-3204
(540) 343-0165
Mailing address
PO BOX 98, WHITE SULPHUR SPRINGS, WV 24986-0098
(304) 536-5030
(304) 536-5031
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201000510
VA
Other
Enumeration date
05/08/2006
Last updated
03/01/2016
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