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NPI Code Detail

MEDICARE: KATHERINE SHU

MEDICARE: KATHERINE SHU
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 : 1477132389
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE SHU
Provider Business Mailing Address
First Line : 8985 S DURANGO DR UNIT 1119
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-6124
Country : US
Telephone Number : 408-464-0413
Fax Number :
Provider Business Practice Location Address
First Line : 3965 W CHEYENNE AVE STE 101
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-8905
Country : US
Telephone Number : 702-515-4009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2021
Last Update Date : 04/07/2021

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Directions to “ KATHERINE SHU ” Practice Location

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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.

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