Shockley, Wendy
Shockley, Wendy is an individual health care provider with primary practice located at 1132 Rutherford Rd , Greenville SC 29609-3927. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Shockley, Wendy can be contacted via phone (864) 250-0005.Contact Information
Primary practice address
1132 Rutherford Rd
Greenville SC 29609-3927
Phone: (864) 250-0005
Fax: (864) 250-0028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3190 | South Carolina |
Profile Details
| NPI number | 1427038439 |
|---|---|
| LBN Legal business name | Shockley, Wendy |
| Credentials | SPEECH THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427038439 | NPPES |
| South Carolina | MEDICAID | SA0376 |
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