Doctor Name: | SHELLIE D THORNLEY |
NPI Number: | 1326154840 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 330354-4102 |
Business Practice Address: | 1400 N 500 E Logan, UT - 843412455 |
Business Phone Number: | 4357165010 |
Business Fax Number: | |
Mailing Address: | 1400 N 500 E, LOGAN |
State: | UT |
Postal Code: | 843412455 |
Phone Number: | 4357165010 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 330354-4102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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 |