Doctor Name: | KERRY SHUMATE |
NPI Number: | 1063678605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP #1269 |
Business Practice Address: | 602 N 10th St Paris, AR - 728552820 |
Business Phone Number: | 4799633143 |
Business Fax Number: | |
Mailing Address: | 1307 E 13th St, RUSSELLVILLE |
State: | AR |
Postal Code: | 728027428 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/04/2008 |
NPI Last Update Date: | 08/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP #1269 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |