Provider Demographics
NPI:1427215730
Name:LOWREY, SHELLEY LANE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHELLEY
Middle Name:LANE
Last Name:LOWREY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4988 WIND STONE WAY NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-2979
Mailing Address - Country:US
Mailing Address - Phone:254-717-2107
Mailing Address - Fax:254-717-2107
Practice Address - Street 1:4988 WIND STONE WAY NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-2979
Practice Address - Country:US
Practice Address - Phone:254-717-2107
Practice Address - Fax:254-717-2107
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
TX18233235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist