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NPI Code Detail

MEDICARE: SHELLEY MARIE MATHAY

MEDICARE:   SHELLEY MARIE MATHAY
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 Pathologist33887TX

General Provider Information

NPI Number : 1649357922
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLEY MARIE MATHAY
Provider Business Mailing Address
First Line : 3636 W DALLAS ST
Second Line :
City : HOUSTON
State : TX
Zip : 77019-1704
Country : US
Telephone Number : 713-523-3633
Fax Number :
Provider Business Practice Location Address
First Line : 3636 W DALLAS ST
Second Line :
City : HOUSTON
State : TX
Zip : 77019-1704
Country : US
Telephone Number : 713-523-3633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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Directions to “ SHELLEY MARIE MATHAY ” 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.