| Doctor Name: | MRS. SHELBY ANN CHAMBERLAIN |
| NPI Number: | 1164547873 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC SLP |
| License Number: | 2005025934 |
| Business Practice Address: | Willard R-ii Schools 407 Farmer Rd Willard, MO - 657819509 |
| Business Phone Number: | 4177420930 |
| Business Fax Number: | 4177422586 |
| Mailing Address: | 407 Farmer Rd, WILLARD |
| State: | MO |
| Postal Code: | 657819509 |
| Phone Number: | 4177420930 |
| Fax Number: | 4177422586 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 02/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2005025934 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| 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 |