Individual
MILES SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., CCC-SLP
Contact information
Practice address
2000 WILKES RIDGE DR, RICHMOND, VA 23233-7632
(804) 877-4000
Mailing address
2000 WILKES RIDGE DR, RICHMOND, VA 23233-7632
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007702
VA
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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