Healthcare Provider Details

I. General information

NPI: 1568542637
Provider Name (Legal Business Name): A SPEECH HEARING &STRESS CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6260 39TH ST STE J
PINELLAS PARK FL
33781-6053
US

IV. Provider business mailing address

6260 39TH ST STE J
PINELLAS PARK FL
33781-6053
US

V. Phone/Fax

Practice location:
  • Phone: 727-525-1480
  • Fax: 727-522-0176
Mailing address:
  • Phone: 727-525-1480
  • Fax: 727-522-0176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY181
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA624
License Number StateFL

VIII. Authorized Official

Name: DR. RONALD J SHELBY
Title or Position: CLINICAL DIR, PRES.
Credential: RST, AUDIOLOGIST, PH
Phone: 727-525-1480