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

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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

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Healthcare Provider's Profile

Full NameMrs Michelle Carol Southerly
GenderFemale
SpecialitySpeech-language Pathologist
LocationRr 1 Box 34 A, Augusta, West Virginia
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1750407425NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-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 AddressPractice 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

Reviews and Comments


Speech-Language Pathologist in Augusta, WV


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