Provider Demographics
NPI:1588996987
Name:LABOVE, SHELLY ANN (HIS)
Entity type:Individual
Prefix:MS
First Name:SHELLY
Middle Name:ANN
Last Name:LABOVE
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
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Mailing Address - Street 1:215 SHUMAN BLVD
Mailing Address - Street 2:STE 401
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8458
Mailing Address - Country:US
Mailing Address - Phone:630-303-5380
Mailing Address - Fax:978-313-6824
Practice Address - Street 1:900 N AUSTIN AVE
Practice Address - Street 2:305
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-4354
Practice Address - Country:US
Practice Address - Phone:512-930-3414
Practice Address - Fax:512-930-5020
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX50009237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist