Doctor Name: | SHAUNDA NICOLE BOWERS |
NPI Number: | 1316282148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 6255 |
Business Practice Address: | 401 South Queen Street Berkeley County Board Of Education Martinsburg, WV - 25401 |
Business Phone Number: | 3042673595 |
Business Fax Number: | 3042673599 |
Mailing Address: | 401 South Queen Street, Berkeley County Board Of Education MARTINSBURG |
State: | WV |
Postal Code: | 25401 |
Phone Number: | 3042673595 |
Fax Number: | 3042673599 |
NPI Enumeration Date: | 12/05/2012 |
NPI Last Update Date: | 12/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6255 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |