Individual
TAYLOR SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
518 N HAMPTON AVE, REPUBLIC, MO 65738-1323
(417) 732-3690
Mailing address
518 N HAMPTON AVE, REPUBLIC, MO 65738-1323
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017023526
MO
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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