Doctor Name: | VANESSA JEANNE SHIRLEN |
NPI Number: | 1437472206 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSP CCC SLP |
License Number: | 7346 |
Business Practice Address: | 36 Highland View Drive Southern Speech Diagnostics, Pllc Southern Pines, NC - 28387 |
Business Phone Number: | 8777738880 |
Business Fax Number: | |
Mailing Address: | 5210 7 Lks W, WEST END |
State: | NC |
Postal Code: | 273769310 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/09/2010 |
NPI Last Update Date: | 03/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7346 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |