Individual
MRS. SHELLIE NICOLE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 5TH AVE, HUNTINGTON, WV 25702-1436
(304) 528-5000
(304) 528-5080
Mailing address
6175 BIRKEWOOD RD, HUNTINGTON, WV 25705-2201
(304) 733-5170
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8907
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810007897
—
WV
Enumeration date
01/30/2008
Last updated
01/30/2008
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