Doctor Name: | MS. SHELLEY DENISE WATSON |
NPI Number: | 1336349505 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 2007049000111170904 |
Business Practice Address: | 1180 W 21st Ave Eugene, OR - 974052115 |
Business Phone Number: | 5413374798 |
Business Fax Number: | |
Mailing Address: | 1180 W 21st Ave, EUGENE |
State: | OR |
Postal Code: | 974052115 |
Phone Number: | 5413374798 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2007 |
NPI Last Update Date: | 07/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2007049000111170904 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |