Individual
SHELIA JANE PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
5240 E PIMA ST, TUCSON, AZ 85712-3630
(520) 232-2021
(520) 232-2553
Mailing address
1830 E BROADWAY BLVD, SUITE 124-143, TUCSON, AZ 85719-5966
(520) 232-2021
(520) 232-2553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2502
KS
235Z00000X
Speech-Language Pathologist
Primary
SLP 7976
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766934
—
AZ
Enumeration date
04/20/2007
Last updated
12/26/2012
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