Individual
MRS. JULIE BETH SHALLIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S., CCC/A
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25401-9990
(304) 263-0811
Mailing address
479 ARBOR SHADE DR, INWOOD, WV 25428-4366
(304) 263-0811
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01005
MD
Other
Enumeration date
01/10/2006
Last updated
07/08/2007
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