Individual
AINSLEY SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.F. SLP
Contact information
Practice address
14715 BRISTOL PARK BLVD, EDMOND, OK 73013-1894
(405) 840-1686
Mailing address
14715 BRISTOL PARK BLVD, EDMOND, OK 73013-1894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF703
OK
Other
Enumeration date
07/09/2024
Last updated
07/18/2024
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