MEDICARE: MRS. SHEILA LOUISE PAOLINI MED,CCC-SP

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	4172	SC

General Provider Information

NPI Number	:	1841621653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHEILA LOUISE PAOLINI MED,CCC-SP

Provider Business Mailing Address
First Line	:	1000 BROOKHAVEN DR
Second Line	:
City	:	AIKEN
State	:	SC
Zip	:	29803-2109
Country	:	US
Telephone Number	:	803-641-2624
Fax Number	:

Provider Business Practice Location Address
First Line	:	1830 CHUKKER CREEK RD
Second Line	:
City	:	AIKEN
State	:	SC
Zip	:	29803-6828
Country	:	US
Telephone Number	:	803-641-2474
Fax Number	:

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

Provider Enumeration Date	:	12/03/2013
Last Update Date	:	12/03/2013

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Directions to “ MRS. SHEILA LOUISE PAOLINI MED,CCC-SP” Practice Location

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