Individual
DARYLA JEANINE SHAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
413 CHILDERS ST, PENSACOLA, FL 32534-9656
(623) 256-7730
Mailing address
413 CHILDRESS ST., PMB 2620, PO BOX 2430, PENSACOLA, FL 32513-2424
(623) 256-7730
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4559
AZ
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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