Shelby Arnold

Individual provider Active NPI Speech-Language Pathologist · Winfield, MO

NPI 1154887719 · NPPES record last updated Aug 19, 2020

Key facts

NPI
1154887719
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2020025692 (MO)
Practice address
701 W Elm St
Winfield, MO 63389-1102
Phone
(636) 668-8188
NPI assigned
Feb 19, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2018002541MOMDProfessional Counselor
2020025692MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lincoln Dist RT 4 Speech-Language Pathologist Past
since Aug 23, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2018002541 MO
Speech-Language Pathologist 235Z00000X 2020025692 MO Yes

Addresses

Primary practice location

701 W Elm St
Winfield, MO 63389-1102

Mailing address

1800 Community
Clinton, MO 64735-8804

Other practice location 1

8075 Mexico Rd
Saint Peters, MO 63376-1118
Phone (888) 403-1071

Other providers in Winfield, MO

All providers in Winfield, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.