Individual
MRS. SHELBY RENAE MOSEBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
10310 N 138TH EAST AVE STE 101, OWASSO, OK 74055-4611
(918) 855-5338
Mailing address
1301 W SOUTH ST, COLLINSVILLE, OK 74021-3017
(918) 855-5338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200907480A
—
OK
Enumeration date
05/20/2020
Last updated
04/04/2024
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