| Doctor Name: | MS. SUSAN SINNAMON SHIELDS |
| NPI Number: | 1801024906 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC/SLP |
| License Number: | 17343 |
| Business Practice Address: | 6226 Colleyville Blvd Suite B Colleyville, TX - 760346277 |
| Business Phone Number: | 8172519527 |
| Business Fax Number: | 8172519549 |
| Mailing Address: | 6226 Colleyville Blvd, Suite B COLLEYVILLE |
| State: | TX |
| Postal Code: | 760346277 |
| Phone Number: | 8172519527 |
| Fax Number: | 8172519549 |
| NPI Enumeration Date: | 06/26/2009 |
| NPI Last Update Date: | 06/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 17343 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |