Individual
MRS. AMIE MICHELLE TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/CCC-SLP
Contact information
Practice address
159 EXECUTIVE DR STE A, DANVILLE, VA 24541-4160
(434) 228-1812
Mailing address
PO BOX 10864, DANVILLE, VA 24543-5015
(434) 228-1812
(866) 468-5040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003828
VA
235Z00000X
Speech-Language Pathologist
6794
NC
Other
Enumeration date
02/01/2006
Last updated
07/18/2023
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