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Organization

MICHELE D. SHIELDES PLLC

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Organization

MICHELE D. SHIELDES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE DIANE SHIELDES M.S. CCC - SLP (SPEECH-LANGUAGE PATHOLOGIST)
(903) 245-7720
Entity
Organization

Contact information

Practice address
401 E FRONT ST STE 123, TYLER, TX 75702-8250
(903) 245-7720
(903) 531-2451
Mailing address
401 E FRONT ST STE 123, TYLER, TX 75702-8250
(903) 245-7720
(903) 531-2451

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—

Other

Enumeration date
05/03/2024
Last updated
04/03/2025
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