Individual
MRS. CHRISTINE MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP LSLS
Contact information
Practice address
480 KORNBLAU TER SE, LEESBURG, VA 20175-3750
(703) 906-5543
Mailing address
480 KORNBLAU TER SE, LEESBURG, VA 20175-3750
(703) 906-5543
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003474
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487107561
—
VA
Enumeration date
07/26/2016
Last updated
01/31/2019
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