Individual
MELISSA MARY TELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
4360 SHORE DR STE 101, VIRGINIA BEACH, VA 23455-2994
(757) 222-5062
Mailing address
5800 LAKE WRIGHT DR STE 101, NORFOLK, VA 23502-1804
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001659
VA
Other
Enumeration date
06/09/2017
Last updated
02/04/2020
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