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MICHELE-ANN COLENA SHAW MS,CCC-SLP
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1811335912
Individual Registrant: MICHELE-ANN COLENA SHAW MS,CCC-SLP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
257 SW PIONEER WAY FORT WHITE, FL 32038-3948 US
Tel: 386-497-4326 Fax: --
Tel: 386-497-4326 Fax: --
Contact information for business:
257 SW PIONEER WAY FORT WHITE, FL 32038-3948 US
Tel: 386-497-4326 Fax: --
Tel: 386-497-4326 Fax: --
Registration Information:
NPI: 1811335912
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | FL | SA6925 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
