Individual
ERICA C SHEHADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 HORNET DR, FULTON, MO 65251-2732
(573) 590-8000
(576) 590-8090
Mailing address
2 HORNET DR, FULTON, MO 65251-2732
(573) 590-8000
(576) 590-8090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2011018663
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346313814
—
MO
Enumeration date
07/27/2011
Last updated
07/27/2011
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