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Individual

MRS. DONNA SHELDEN RAWLINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
517 LIMERICK ST, TYLER, TX 75703-5327
(903) 216-8799
Mailing address
517 LIMERICK ST, TYLER, TX 75703-5327
(903) 216-8799

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17335
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09123254
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION CERTIFICATE OF CLINICAL COMPETENCE
01
17335
STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
TX
Enumeration date
01/12/2016
Last updated
01/12/2016
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