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NPI Code Detail

MEDICARE: ANGELA SUHYOUNG SHIN

MEDICARE: ANGELA SUHYOUNG SHIN
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1275294407
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA SUHYOUNG SHIN
Provider Business Mailing Address
First Line : 410 SPRINGTREE RD
Second Line :
City : LAKE DALLAS
State : TX
Zip : 75065-2391
Country : US
Telephone Number : 972-849-2816
Fax Number :
Provider Business Practice Location Address
First Line : 2121 MIDWAY RD STE 145
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-5263
Country : US
Telephone Number : 972-851-1022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2022
Last Update Date : 01/13/2026

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Directions to “ ANGELA SUHYOUNG SHIN ” Practice Location

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