Individual
PATRICIA LARSON SHIELDS
Active
Individual
PATRICIA LARSON SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
Primary
21
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5830472
—
SD
Enumeration date
07/13/2007
Last updated
07/29/2014
Update your record
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