Individual
ANN M SHIDELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4750 E UNION HILLS DR, #2087, PHOENIX, AZ 85050-3363
(602) 882-4964
Mailing address
4750 E UNION HILLS DR, #2087, PHOENIX, AZ 85050-3363
(602) 882-4964
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4564
AZ
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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