Provider Demographics
NPI:1053133611
Name:WINDER, SHAYLAH (SLPA)
Entity type:Individual
Prefix:
First Name:SHAYLAH
Middle Name:
Last Name:WINDER
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13225 PHILADELPHIA ST # E13
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-4321
Mailing Address - Country:US
Mailing Address - Phone:626-782-5599
Mailing Address - Fax:
Practice Address - Street 1:13225 PHILADELPHIA ST # E13
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4321
Practice Address - Country:US
Practice Address - Phone:626-782-5599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist