MEDICARE: MRS. SHELLEY D PAULSON MS CCC

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
1	235Z00000X	Speech-Language Pathologist	SP-91	NV

General Provider Information

NPI Number	:	1316014517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHELLEY D PAULSON MS CCC

Provider Business Mailing Address
First Line	:	1811 RAINBOW BLVD SUITE 210
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146
Country	:	US
Telephone Number	:	702-641-8255
Fax Number	:	702-399-8255

Provider Business Practice Location Address
First Line	:	5516 S FORT APACHE RD STE 130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-7679
Country	:	US
Telephone Number	:	702-641-8255
Fax Number	:	702-399-8255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	03/02/2020

Similar Medicare Providers

1679620934 — SPEECH THERAPY CENTER OF EXCELLENCE, INC.
Practice Location Address:

5516 S FORT APACHE RD STE 130
LAS VEGAS, NV
89148-7679

Practice Phone: 702-641-8244
Practice Fax: 702-399-8255

1437385408 — CIRCLE OF CHANGE ADOLESCENT BEHAVIORAL HEALTH COUNSELING CENTER
Practice Location Address:

5516 S FORT APACHE RD STE 120
LAS VEGAS, NV
89148-7679

Practice Phone: 702-479-1629
Practice Fax:

1669609913 — MRS. MEGAN SANDERS CADC-P
Practice Location Address:

5516 S FORT APACHE RD STE 120
LAS VEGAS, NV
89148-7679

Practice Phone: 702-203-7167
Practice Fax:

1770829061 — MRS. STACY NICOLE KISOR
Practice Location Address:

5516 S FORT APACHE RD STE 130
LAS VEGAS, NV
89148-7679

Practice Phone: 702-641-8255
Practice Fax:

1326575283 — KJIRSTEN BROUGHTON CCC
Practice Location Address:

5516 S FORT APACHE RD STE 130
LAS VEGAS, NV
89148-7679

Practice Phone: 702-641-8255
Practice Fax:

1487175865 — CASSANDRA TUNNEY CCC-SLP
Practice Location Address:

5516 S FORT APACHE RD STE 130
LAS VEGAS, NV
89148-7679

Practice Phone: 702-641-8255
Practice Fax:

Directions to “ MRS. SHELLEY D PAULSON MS CCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.