Individual
MS. LORI C SHAMBLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH LANGUAGE PATH
Contact information
Practice address
1313 DUNBAR AVENUE, DUNBAR, WV 25064
(304) 768-3307
(304) 768-3620
Mailing address
1313 DUNBAR AVENUE, DUNBAR, WV 25064
(304) 768-3307
(304) 768-3620
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0626
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206427000
—
WV
05
—
9400083000
—
WV
Enumeration date
11/30/2006
Last updated
07/08/2007
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