Individual
MR. CLAYTON LOUIS SHAMPOE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-9144
(757) 668-9125
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-9144
(757) 668-9125
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001493
VA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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