National Provider Identifier
Jacqueline Marie Shellum
Jacqueline Marie Shellum is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Kenmore, NY and a listed phone number of (716) 871-9883.
Profile Overview
- NPI
- 1255408589
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- November 30, 2006
- Last Updated
- July 08, 2007
Practice Location
- 2565 Elmwood Ave
- Kenmore, NY 14217-1939
Phone: (716) 871-9883
Mailing Address
- 3788 Graeber Avenue
- Crystal Beach, Ontario 010
- CA
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1255408589
- Entity Type
- Individual
- Last Name
- Shellum
- First Name
- Jacqueline
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Mailing Street Address
- 3788 Graeber Avenue
- Mailing City
- Crystal Beach
- Mailing State
- Ontario
- Mailing ZIP Code
- 010
- Mailing Country
- CA
- Mailing Phone
- (905) 894-8215
- Practice Street Address
- 2565 Elmwood Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1939
- Practice Country
- US
- Practice Phone
- (716) 871-9883
- Enumeration Date
- November 30, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)