Shelley McFadin, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Keene, TX

NPI 1831840636 · NPPES record last updated Sep 16, 2022

Key facts

NPI
1831840636
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
16112 (TX)
Practice address
300 E Highway 67
Keene, TX 76059-1214
Phone
(817) 774-5352
NPI assigned
Jan 12, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16112TXMDCounselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 16112 TX Yes

Addresses

Primary practice location

300 E Highway 67
Keene, TX 76059-1214

Mailing address

1929 County Road 301
Glen Rose, TX 76043-5597
Phone (817) 360-7701

Other providers in Keene, TX

All providers in Keene, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.