Individual provider · Type 1 NPI

Shelly Diane Carroll, SLP-ASSISTANT

Speech-Language Assistant · Mansfield, TX

NPI number 1003552449 Active

Practice location

605 E Broad St
Mansfield, TX 76063-1794

Mailing address

909 Masquerade Dr
Midlothian, TX 76065-8882

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801X32758 (TX)

Speech-Language Assistant: Definition to come...

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About NPI 1003552449

Shelly Diane Carroll, SLP-ASSISTANT's National Provider Identifier is 1003552449, issued on May 9, 2022. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Mansfield, TX. The record was last updated on May 9, 2022.