Individual
VICKI D SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
247 HARRISON AVENUE, MORGAN COUNTY BOARD OF EDUCATION, BERKELEY SPRINGS, WV 25411
(304) 258-2014
Mailing address
147 NICKLIN COURT, HEDGESVILLE, WV 25427
(304) 754-7665
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0494
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152165000
—
WV
Enumeration date
03/06/2008
Last updated
03/06/2008
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