Individual
DR. SHANNON WADE SALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLPD
Contact information
Practice address
103 ROSEHILL DR, SOUTH BOSTON, VA 24592-4843
(434) 572-4906
Mailing address
103 ROSEHILL DR, SOUTH BOSTON, VA 24592-4843
(434) 572-4906
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003767
VA
Other
Enumeration date
08/01/2009
Last updated
08/01/2009
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