Individual
AMY P SHIRLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1656 SULGRAVE RD, CHARLESTON, SC 29414-5933
(843) 556-0284
(843) 766-6599
Mailing address
1656 SULGRAVE RD, CHARLESTON, SC 29414-5933
(843) 556-0284
(843) 766-6599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2358
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0229
—
SC
Enumeration date
05/13/2006
Last updated
07/08/2007
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