Individual
MS. SHELBY DEE WOOLSTENHULME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
450 E. MAIN STREET, REXBURG, ID 83440
(208) 356-6532
(208) 359-6574
Mailing address
3883 E. ASH LN., RIGBY, ID 83442
(208) 390-1778
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2206
ID
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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