Individual
KARLA SHELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
6507 CONSTITUTION DR, FORT WAYNE, IN 46804-1551
(260) 271-4650
Mailing address
6507 CONSTITUTION DR, FORT WAYNE, IN 46804-1551
(260) 271-4650
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004769A
IN
Other
Enumeration date
06/09/2008
Last updated
06/27/2022
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