Doctor Name: | SHELBY ELIZABETH COLE |
NPI Number: | 1396994497 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. SLP-CCC |
License Number: | 12109534 |
Business Practice Address: | 207 Balfour Rd West Memphis, AR - 723011701 |
Business Phone Number: | 8707339950 |
Business Fax Number: | 8707339966 |
Mailing Address: | Po Box 2627, WEST MEMPHIS |
State: | AR |
Postal Code: | 723032627 |
Phone Number: | 8707339950 |
Fax Number: | 8707339966 |
NPI Enumeration Date: | 09/12/2008 |
NPI Last Update Date: | 09/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12109534 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
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 |