Provider Demographics
NPI:1902640261
Name:SHEEHAN, SHELBY M (MS, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:SHELBY
Middle Name:M
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 MCMURTRIE DR NW STE G1
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-2471
Mailing Address - Country:US
Mailing Address - Phone:256-213-7477
Mailing Address - Fax:256-517-9528
Practice Address - Street 1:1101 MCMURTRIE DR NW STE G1
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2471
Practice Address - Country:US
Practice Address - Phone:256-213-7477
Practice Address - Fax:256-517-9528
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5670235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist