Doctor Name: | MISS SHAYLA SCOLLICK |
NPI Number: | 1295101624 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CFY |
License Number: | COND.2016129 |
Business Practice Address: | 112 Jennifer Dr Moundsville, WV - 260416018 |
Business Phone Number: | 3048303318 |
Business Fax Number: | |
Mailing Address: | 112 Jennifer Dr, MOUNDSVILLE |
State: | WV |
Postal Code: | 260416018 |
Phone Number: | 3048458272 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2015 |
NPI Last Update Date: | 08/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | COND.2016129 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |