Individual
ANNE RUSHTON SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
417 EMMET ST S, CHARLOTTESVILLE, VA 22903-2424
(434) 924-8750
(434) 924-4621
Mailing address
PO BOX 400270, CHARLOTTESVILLE, VA 22904-4270
(434) 924-8750
(434) 924-4621
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202000913
VA
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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