Provider Demographics
NPI:1952663882
Name:HAIGWOOD, SHELBEY LYN (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:SHELBEY
Middle Name:LYN
Last Name:HAIGWOOD
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 UNDERHILL RD
Mailing Address - Street 2:
Mailing Address - City:BEEBE
Mailing Address - State:AR
Mailing Address - Zip Code:72012-9751
Mailing Address - Country:US
Mailing Address - Phone:501-230-3707
Mailing Address - Fax:501-882-9825
Practice Address - Street 1:27 HWY 64 W
Practice Address - Street 2:
Practice Address - City:BEEBE
Practice Address - State:AR
Practice Address - Zip Code:72012-2094
Practice Address - Country:US
Practice Address - Phone:501-230-3707
Practice Address - Fax:501-882-9825
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist