Provider Demographics
NPI:1912531245
Name:CARRIER, SHELBY M (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHELBY
Middle Name:M
Last Name:CARRIER
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 DORIS LN
Mailing Address - Street 2:
Mailing Address - City:ROGERS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49779-2026
Mailing Address - Country:US
Mailing Address - Phone:906-287-1177
Mailing Address - Fax:
Practice Address - Street 1:145 DORIS LN
Practice Address - Street 2:
Practice Address - City:ROGERS CITY
Practice Address - State:MI
Practice Address - Zip Code:49779-2026
Practice Address - Country:US
Practice Address - Phone:906-287-1177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist