Individual
MRS. CRYSTAL DAWN SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.CCC-SLP
Contact information
Practice address
127 S KENTUCKY ST, KINGSTON, TN 37763-2746
(865) 285-9411
Mailing address
122 WINDING TRL, HARRIMAN, TN 37748-4955
(865) 466-1493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4178
TN
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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