Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MICHELLE CAROL SOUTHERLY, SLP
Active Sole ProprietorMRS. MICHELLE CAROL SOUTHERLY, SLP is a Speech, Language and Hearing Specialist healthcare provider located in AUGUSTA, West Virginia. NPI 1750407425 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · AUGUSTA, WV
Registration Details
- NPI Number
- 1750407425
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2007 (19.217292563236 yrs)
- Last Updated
- Jul 8, 2007
- License
-
394 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
RR 1 BOX 34 AAUGUSTA, WV, 267049706Browse WV providers · Browse ZIP 26704
- Phone
- 3044968284
- Fax
- 3044969761
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.