Doctor Name: | SHARON D SHIPLEY |
NPI Number: | 1023269586 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-A |
License Number: | 493 |
Business Practice Address: | 1601 Nw 114th St Suite 230 Des Moines, IA - 503257007 |
Business Phone Number: | 5152227761 |
Business Fax Number: | 5152227926 |
Mailing Address: | Po Box 1475, DES MOINES |
State: | IA |
Postal Code: | 503051475 |
Phone Number: | 5156434374 |
Fax Number: | 5156432784 |
NPI Enumeration Date: | 10/02/2008 |
NPI Last Update Date: | 10/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 231HA2400X |
License Number: | 493 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Audiologist |
Taxonomy Specialization: | Assistive Technology Practitioner |
Taxonomy Definition: |