Provider Demographics
NPI:1962228569
Name:KARL, SHELBIE LOUISE (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SHELBIE
Middle Name:LOUISE
Last Name:KARL
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13111 W SHORE RD
Mailing Address - Street 2:
Mailing Address - City:NINE MILE FALLS
Mailing Address - State:WA
Mailing Address - Zip Code:99026-9375
Mailing Address - Country:US
Mailing Address - Phone:509-951-1026
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 829
Practice Address - Street 2:
Practice Address - City:CONNELL
Practice Address - State:WA
Practice Address - Zip Code:99326-0829
Practice Address - Country:US
Practice Address - Phone:509-234-4381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-27
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA09138355235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist