Individual
SHELBY LENAE STAVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
1209 S CANOSA CT, DENVER, CO 80219-4268
(918) 774-7617
Mailing address
1209 S CANOSA CT, DENVER, CO 80219-4268
(918) 774-7617
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0002512
CO
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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