Doctor Name: | MRS. SHIRLEY SHORT |
NPI Number: | 1336501246 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | SLP.0002266 |
Business Practice Address: | 1710 Jet Stream Dr Suite 110 Colorado Springs, CO - 809213937 |
Business Phone Number: | 7194341109 |
Business Fax Number: | 7194347308 |
Mailing Address: | 1710 Jet Stream Dr, Suite 110 COLORADO SPRINGS |
State: | CO |
Postal Code: | 809213937 |
Phone Number: | 7194341109 |
Fax Number: | 7194347308 |
NPI Enumeration Date: | 03/22/2016 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP.0002266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |