Individual
PHYLLIS SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
315 6TH ST S, ONEONTA, AL 35121-1828
(205) 274-2244
Mailing address
315 6TH ST S, ONEONTA, AL 35121-1828
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3705
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183128
—
AL
Enumeration date
03/25/2016
Last updated
03/25/2016
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