Individual
PROF. KATHY LYNN SHAPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. CCC-SLP
Contact information
Practice address
1100 COLLEGE ST, MUW 1340, COLUMBUS, MS 39701-5800
(662) 329-7272
(662) 329-7460
Mailing address
1100 COLLEGE ST, MUW 1340, COLUMBUS, MS 39701-5800
(662) 329-7272
(662) 329-7460
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
112159
TX
235Z00000X
Speech-Language Pathologist
11748
NC
235Z00000X
Speech-Language Pathologist
Primary
S4485
MS
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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