Provider Demographics
NPI:1871748616
Name:WRIGHT, SHELBY BARNWELL (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:BARNWELL
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 BEN CASEY DR STE 105
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-6600
Mailing Address - Country:US
Mailing Address - Phone:803-547-4327
Mailing Address - Fax:803-547-4329
Practice Address - Street 1:127 BEN CASEY DR STE 105
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-6600
Practice Address - Country:US
Practice Address - Phone:803-547-4327
Practice Address - Fax:803-547-4329
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3916231H00000X
231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1896NOtherBCBS
SCSA1518Medicaid
SCQ349645874OtherMEDICARE