Individual provider · Type 1 NPI

Michelle Carol Southerly, SLP

Speech-Language Pathologist · Augusta, WV

NPI number 1750407425 Active

Practice location

RR 1 Box 34 A
Augusta, WV 26704-9706

Fax (304) 496-9761

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X394 (WV)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

About NPI 1750407425

Michelle Carol Southerly, SLP's National Provider Identifier is 1750407425, issued on Mar 22, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Augusta, WV. The record was last updated on Jul 8, 2007.