Individual
MRS. SHELBY LYNN STORM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
225 RUSSELL AVE, NEW MARTINSVILLE, WV 26155-1572
(304) 455-2600
(304) 455-2580
Mailing address
303 13TH ST, GLEN DALE, WV 26038-1711
(304) 281-1889
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0966
WV
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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