Provider Demographics
NPI:1396938544
Name:SHAPPELL, JOYCE E (MS)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:E
Last Name:SHAPPELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:JOYCE
Other - Middle Name:E
Other - Last Name:MICHEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS08/04/1065
Mailing Address - Street 1:4708 STATE RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-4316
Mailing Address - Country:US
Mailing Address - Phone:610-623-2377
Mailing Address - Fax:484-450-2552
Practice Address - Street 1:4708 STATE RD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-4316
Practice Address - Country:US
Practice Address - Phone:610-623-2377
Practice Address - Fax:484-450-2552
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL003507L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist