Provider Demographics
NPI:1407661267
Name:POTTS, SHAYLA ELIZABETH
Entity type:Individual
Prefix:
First Name:SHAYLA
Middle Name:ELIZABETH
Last Name:POTTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 COUNTY ROAD 1225 N
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:IL
Mailing Address - Zip Code:62806-4111
Mailing Address - Country:US
Mailing Address - Phone:618-302-3079
Mailing Address - Fax:
Practice Address - Street 1:1527 COLLEGE DR
Practice Address - Street 2:
Practice Address - City:MT. CARMEL
Practice Address - State:ID
Practice Address - Zip Code:62863
Practice Address - Country:US
Practice Address - Phone:618-263-6343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist