| Doctor Name: | MRS. SHELLEY D PAULSON |
| NPI Number: | 1316014517 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC |
| License Number: | SP-91 |
| Business Practice Address: | 1811 S Rainbow Blvd Ste 210 Las Vegas, NV - 891460855 |
| Business Phone Number: | 7026418255 |
| Business Fax Number: | 7023998255 |
| Mailing Address: | 1811 Rainbow Blvd Suite 210, LAS VEGAS |
| State: | NV |
| Postal Code: | 89146 |
| Phone Number: | 7026418255 |
| Fax Number: | 7023998255 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP-91 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| 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 |