Individual
MRS. SAMANTHA MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED CCC-SLP
Contact information
Practice address
1026 HANSON WAY, VIRGINIA BEACH, VA 23454-6046
(917) 583-5246
Mailing address
1026 HANSON WAY, VIRGINIA BEACH, VA 23454-6046
(917) 583-5246
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007255
VA
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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