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NPI Code Detail

MEDICARE: MRS. DANIELLE E SHELTON MM, MT-BC, CEDCAT

MEDICARE: MRS. DANIELLE E SHELTON MM, MT-BC, CEDCAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225A00000XMusic Therapist

General Provider Information

NPI Number : 1205293412
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANIELLE E SHELTON MM, MT-BC, CEDCAT
Provider Business Mailing Address
First Line : 3192 NATHANIEL TRCE
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-5704
Country : US
Telephone Number : 850-443-7931
Fax Number : 850-270-6932
Provider Business Practice Location Address
First Line : 1909 HILLBROOKE TRL STE 4
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-7902
Country : US
Telephone Number : 850-443-7931
Fax Number : 850-270-6932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2016
Last Update Date : 01/19/2016

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