Healthcare Provider Details

I. General information

NPI: 1487585469
Provider Name (Legal Business Name): EMILY SHELTON M.C.D., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 SUDBROOK LN STE A
BALTIMORE MD
21208-4184
US

IV. Provider business mailing address

1224 MADISON PARK DR
MADISON AL
35758-2064
US

V. Phone/Fax

Practice location:
  • Phone: 443-918-5575
  • Fax:
Mailing address:
  • Phone: 256-690-7124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP-3796
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP011707
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5218
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: