Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHELLEY LYNN REVORD, CCC-SLP
ActiveMRS. SHELLEY LYNN REVORD, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in EAST TAWAS, Michigan. NPI 1215526587 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · EAST TAWAS, MI
Registration Details
- NPI Number
- 1215526587
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2021 (5.583748719861 yrs)
- Last Updated
- Jan 12, 2021
- License
-
7101006633 (MI)
Practice Information
- Address
-
1691 E US 23 STE 4EAST TAWAS, MI, 487309337Browse MI providers · Browse ZIP 48730
- Phone
- 9893101962
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in EAST TAWAS, MI
| Name | Credential | NPI |
|---|---|---|
| KELLY SANDERSON | M.S., CCC-SLP | 1184741290 |
| MICHELLE ST. AUBIN | MS, CCC-SLP | 1205227188 |
| NICOLE J EKLUND | — | 1356992549 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.