Individual
SHELBY SMITH THAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 W BEACON STREET, PHILADELPHIA, MS 39350
(601) 650-0002
(601) 650-9902
Mailing address
921 W BEACON STREET, PHILADELPHIA, MS 39350
(601) 650-0002
(601) 650-9902
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-3973
MS
235Z00000X
Speech-Language Pathologist
S3973
MS
Other
Enumeration date
09/12/2019
Last updated
02/07/2021
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