| Doctor Name: | MS. SHELLEY S. KIRCHENBAUM |
| NPI Number: | 1316055171 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CCC-SLP |
| License Number: | SA2485 |
| Business Practice Address: | Clinic For Speech-language & Communication Disorders 3301 College Avenue Fort Lauderdale, FL - 333144416 |
| Business Phone Number: | 9542627746 |
| Business Fax Number: | 9542622847 |
| Mailing Address: | 7271 Sarimento Pl, DELRAY BEACH |
| State: | FL |
| Postal Code: | 334464413 |
| Phone Number: | 5613810905 |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA2485 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |