Individual
MICHELYVE PETIT ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3709 S GEORGE MASON DR APT T14E, FALLS CHURCH, VA 22041-4749
(215) 275-3687
Mailing address
12345 PARKLAWN DRIVE, SUITE 200, PMB 1050, ROCKVILLE, MD 20852
(215) 275-3687
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09713
MD
Other
Enumeration date
08/29/2022
Last updated
03/27/2025
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