Individual
MRS. SHELLY ANN PREVALLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, SLP
Contact information
Practice address
300 FLOYD DR, SIKESTON, MO 63801-3960
(573) 472-0397
(573) 472-0409
Mailing address
300 FLOYD DR, SIKESTON, MO 63801-3960
(573) 472-0397
(573) 472-0409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015034679
MO
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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