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Shelby Elisa Whitsell Edmonds, M.S., CCC-SLP

Speech-Language Pathologist, in Southaven, MS. Individual provider (NPI-1).

NPI number1982209581
StatusActive
Last updated in NPPESDec 1, 2020

Details

NPI
1982209581
Entity type
Individual (NPI-1)
Name
Shelby Elisa Whitsell Edmonds
Credential
M.S., CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 1, 2020
Certification date
Dec 1, 2020
Last updated
Dec 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,6575TNYes

Practice location

2628 Dawnwood Cir N
Southaven, MS 38672-2310

Phone 901-461-4677

Mailing address

2628 Dawnwood Cir N
Southaven, MS 38672-2310

Phone 901-461-4677

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