Individual
SHELLEY A KASTLER-DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP-CCC
Contact information
Practice address
100 FOREST ROAD 252, TIJERAS, NM 87059-6308
(505) 286-0012
Mailing address
100 FOREST ROAD 252, TIJERAS, NM 87059-6308
(505) 286-0012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1569
NM
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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