| Doctor Name: | DARYLA JEANINE SHAKLEY |
| NPI Number: | 1043400831 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CCC/SLP |
| License Number: | SLP4559 |
| Business Practice Address: | 413 Childers St Pensacola, FL - 325349656 |
| Business Phone Number: | 6232567730 |
| Business Fax Number: | |
| Mailing Address: | 413 Childress St., Pmb 2620, Po Box 2430 PENSACOLA |
| State: | FL |
| Postal Code: | 325132424 |
| Phone Number: | 6232567730 |
| Fax Number: | |
| NPI Enumeration Date: | 07/27/2007 |
| NPI Last Update Date: | 07/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP4559 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |