Doctor Name: | DONNA RUTH SHAY |
NPI Number: | 1386611127 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | SLP0100 |
Business Practice Address: | 122 12th Street Ext Princeton, WV - 247402352 |
Business Phone Number: | 3044877658 |
Business Fax Number: | 3044877900 |
Mailing Address: | 122 12th Street Extension, PRINCETON |
State: | WV |
Postal Code: | 247402272 |
Phone Number: | 3044877658 |
Fax Number: | 3044877900 |
NPI Enumeration Date: | 03/01/2006 |
NPI Last Update Date: | 03/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP0100 |
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 |