Individual
MS. MIKELLE VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
929 MADISON AVE, NEWPORT NEWS, VA 23604-1105
(757) 888-3200
Mailing address
29 MILFORD RD, NEWPORT NEWS, VA 23601-3940
(757) 888-3200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
VA
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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