Provider Demographics
NPI:1154952687
Name:REED, SHELBY (SLP)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:SHELBY
Other - Middle Name:
Other - Last Name:STULTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:723 W FAIRVIEW ST
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NE
Mailing Address - Zip Code:68620-1767
Mailing Address - Country:US
Mailing Address - Phone:402-395-3187
Mailing Address - Fax:402-395-3169
Practice Address - Street 1:723 W FAIRVIEW ST
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NE
Practice Address - Zip Code:68620-1767
Practice Address - Country:US
Practice Address - Phone:402-395-3187
Practice Address - Fax:402-395-3169
Is Sole Proprietor?:No
Enumeration Date:2020-02-03
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116509235Z00000X
NE2836235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist