Mrs Michelle Carol Southerly, SLP in Augusta, WV - Speech-Language Pathologist

Mrs Michelle Carol Southerly, SLP is a Speech-language Pathologist based in Augusta, West Virginia. Mrs Michelle Carol Southerly is licensed to practice in West Virginia (license number 394) and her current practice location is Rr 1 Box 34 A, Augusta, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 496-8284.

NPI number for Mrs Michelle Carol Southerly is 1750407425 and her current mailing address is Rr 1 Box 34 A, Augusta, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750407425.

Contact Information

	Mrs Michelle Carol Southerly, SLP
	Rr 1 Box 34 A, Augusta, WV 26704-9706
	(304) 496-8284
	(304) 496-9761

Healthcare Provider's Profile

Full Name	Mrs Michelle Carol Southerly
Gender	Female
Speciality	Speech-language Pathologist
Location	Rr 1 Box 34 A, Augusta, West Virginia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1750407425
Provider Enumeration Date: 03/22/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Michelle Carol Southerly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750407425	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	394 (West Virginia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Michelle Carol Southerly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Michelle Carol Southerly, SLP Rr 1 Box 34 A, Augusta, WV 26704-9706 Ph: (304) 496-8284	Mrs Michelle Carol Southerly, SLP Rr 1 Box 34 A, Augusta, WV 26704-9706 Ph: (304) 496-8284

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Mrs Michelle Carol Southerly, SLP - Speech-Language Pathologist in Augusta, WV