Doctor Name: | ASHLEY DAWN SHELL |
NPI Number: | 1053588491 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 1211 S 29th St Chickasha, OK - 730189651 |
Business Phone Number: | 4052240002 |
Business Fax Number: | 4052240133 |
Mailing Address: | 1211 S 29th St, CHICKASHA |
State: | OK |
Postal Code: | 730189651 |
Phone Number: | 4052240002 |
Fax Number: | 4052240133 |
NPI Enumeration Date: | 05/14/2008 |
NPI Last Update Date: | 05/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |