| Doctor Name: | PATRICIA LARSON SHIELDS |
| NPI Number: | 1427257021 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AUD |
| License Number: | |
| Business Practice Address: | 417 N Main St Suite 105 Mitchell, SD - 573012655 |
| Business Phone Number: | 6059960281 |
| Business Fax Number: | 6059966168 |
| Mailing Address: | 417 N Main St, Suite 105 MITCHELL |
| State: | SD |
| Postal Code: | 573012655 |
| Phone Number: | 6059960281 |
| Fax Number: | 6059966168 |
| NPI Enumeration Date: | 07/13/2007 |
| NPI Last Update Date: | 07/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| 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 |