Individual provider · Type 1 NPI

Shelley Lynn Revord, CCC-SLP

Speech-Language Pathologist · East Tawas, MI

NPI number 1215526587 Active

Practice location

1691 E US 23 Ste 4
East Tawas, MI 48730-9337

Call (989) 310-1962 Map

Mailing address

900 N Kobs Rd
Tawas City, MI 48763-9762

Specialties and licenses

Taxonomy	Code	License
Speech-Language Pathologist Primary	235Z00000X	7101006633 (MI)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1215526587

Shelley Lynn Revord, CCC-SLP's National Provider Identifier is 1215526587, issued on Jan 12, 2021. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in East Tawas, MI. The record was last updated on Jan 12, 2021.