NPI 1417906694

Michelle Ann Ickes, PHD

Practitioner Audiologist Roanoke, VA

Practice location

Address: 2030 Colonial Ave SW, Roanoke, VA 24015-3204
Phone: (540) 343-0165
Mailing address: PO Box 98, White Sulphur Springs, WV 24986-0098

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 2201000510 (VA)

Other Audiologist providers in Virginia →

Registry record

NPI: 1417906694
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 May 2006
Record last updated: 1 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.