Individual
SHELBY BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
830 W LAKE LANSING RD STE 190, EAST LANSING, MI 48823-6371
(517) 333-8533
Mailing address
PO BOX 558, DEWITT, MI 48820-0558
(517) 333-8550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7151001729
MI
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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