Individual
MS. SHEWAN MICHELLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4445 CORPORATION LANE, SUITE 264, VIRGINIA BEACH, VA 23462-6584
(443) 454-2021
(410) 224-7637
Mailing address
PO BOX 516, STAFFORD, VA 22555-0516
(443) 454-2021
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04257
MD
Other
Enumeration date
10/21/2005
Last updated
05/07/2024
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