West, Shelly

West, Shelly is an individual health care provider with primary practice located at 51 Hadley Dr , Hannacroix NY 12087-2116. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. West, Shelly can be contacted via phone (518) 435-5315.

Contact Information

Primary practice address
51 Hadley Dr Hannacroix NY 12087-2116
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 014652 New York

Profile Details

NPI number 1780722082
LBN Legal business name West, Shelly
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jun 4th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780722082 NPPES
New York MEDICAID 00014652

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