Individual
EMILY JANE SHUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC/A
Contact information
Practice address
1136 E GRANDE BLVD, TYLER, TX 75703-3982
(903) 363-9317
(903) 595-3304
Mailing address
1136 E GRANDE BLVD, TYLER, TX 75703-3982
(903) 363-9317
(903) 595-3304
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81717
TX
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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