| Doctor Name: | SHELBY GOERTZEN |
| NPI Number: | 1194049437 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., CCC-SLP |
| License Number: | LL 60123648 |
| Business Practice Address: | 1150 W Fairview St Colfax, WA - 991119580 |
| Business Phone Number: | 5093974603 |
| Business Fax Number: | 5093979214 |
| Mailing Address: | 4263 W Belmont Ave, FRESNO |
| State: | CA |
| Postal Code: | 937225810 |
| Phone Number: | 5597091348 |
| Fax Number: | 5592740223 |
| NPI Enumeration Date: | 03/16/2010 |
| NPI Last Update Date: | 03/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL 60123648 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |