Shelby Smith Thames
Speech-Language Pathologist, in Philadelphia, MS. Individual provider (NPI-1).
NPI number1639729510
StatusActive
Last updated in NPPESFeb 7, 2021
Details
- NPI
- 1639729510
- Entity type
- Individual (NPI-1)
- Name
- Shelby Smith Thames
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2019
- Certification date
- Feb 7, 2021
- Last updated
- Feb 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | S-3973 | MS | Yes |
| 235Z00000X | Speech-Language Pathologist, | s3973 | MS |
Other names
- Shelby Smith (Former Name)
Practice location
921 W Beacon StreetPhiladelphia, MS 39350
Phone 601-650-0002 · Fax 601-650-9902
Mailing address
921 W Beacon StreetPhiladelphia, MS 39350
Phone 601-650-0002 · Fax 601-650-9902
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Other Speech-Language Pathologist providers in Philadelphia, MS
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