Individual
MICHELLE STICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
BERKELEY COUNTY BOARD OF EDUCATION, 1453 WINCHESTER AVENUE, MARTINSBURG, WV 25405
(304) 267-3595
Mailing address
BERKELEY COUNTY BOARD OF EDUCATION, 1453 WINCHESTER AVENUE, MARTINSBURG, WV 25405
(304) 267-3595
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1991
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP-1991
WV BOARD OF EXAMINERS CARD
WV
Enumeration date
10/30/2019
Last updated
10/30/2019
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