Individual
GINA LEE SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
210 SUMMIT RIDGE PL, WELDON SPRING, MO 63304-0907
(636) 244-2134
Mailing address
6420 CLAYTON ROAD, SSM REHABILITATION HOSPITAL, ST. LOUIS, MO 63117
(314) 768-5338
(314) 768-5208
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01413
MO
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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