Provider Demographics
NPI:1649598251
Name:DABBS, SHANDI L (AUD)
Entity Type:Individual
Prefix:DR
First Name:SHANDI
Middle Name:L
Last Name:DABBS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2404 37TH ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36854-3115
Mailing Address - Country:US
Mailing Address - Phone:706-518-8501
Mailing Address - Fax:
Practice Address - Street 1:2290 MOORES MILL RD
Practice Address - Street 2:SUITE 400
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-8431
Practice Address - Country:US
Practice Address - Phone:706-518-8501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-06
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1049A231H00000X
GAAUD003821231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist