Provider Demographics
NPI:1104055276
Name:SHELSTA, AUBREY (MA, CFY)
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:
Last Name:SHELSTA
Suffix:
Gender:F
Credentials:MA, CFY
Other - Prefix:
Other - First Name:AUBREY
Other - Middle Name:
Other - Last Name:CARPENTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1680 6TH ST
Mailing Address - Street 2:#1
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-5851
Mailing Address - Country:US
Mailing Address - Phone:720-365-9016
Mailing Address - Fax:
Practice Address - Street 1:519 EMERY ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5544
Practice Address - Country:US
Practice Address - Phone:303-702-0091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist