Doctor Name: | LOUISE ANN SHIVELY |
NPI Number: | 1851429799 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SL001896L |
Business Practice Address: | 90 Maplewood Dr Lewisburg, PA - 178376307 |
Business Phone Number: | 5705232941 |
Business Fax Number: | |
Mailing Address: | 2500 Green Ridge Rd, MIFFLINBURG |
State: | PA |
Postal Code: | 178446751 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL001896L |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | PA |
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 |