Individual
SHELLY TITZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
951 WALNUT ST, EVANSVILLE, IN 47713-1850
(128) 435-8453
Mailing address
11107 FISCHER RD, EVANSVILLE, IN 47720-7596
(585) 755-8362
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
008290-1
NY
235Z00000X
Speech-Language Pathologist
220065
IN
251300000X
Local Education Agency (LEA)
Primary
008290-1
NY
Other
Enumeration date
10/02/2010
Last updated
05/02/2019
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