Individual
AUDREY SHIFFLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
494 W CENTRAL AVE, DELAWARE, OH 43015-1470
(740) 369-3650
(740) 369-0812
Mailing address
494 W CENTRAL AVE, DELAWARE, OH 43015-1470
(740) 369-3650
(740) 369-0812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP7820
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2095254
—
OH
Enumeration date
02/14/2007
Last updated
11/29/2011
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