Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLEY CANNON FREDERICK
Active Sole ProprietorArt Therapist · EL PASO, TX
Registration Details
- NPI Number
- 1558072165
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 6, 2022 (3.3756742484774 yrs)
- Last Updated
- Dec 6, 2022
- License
-
17-043 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2496 RICKER ROADEL PASO, TX, 79916Browse TX providers · Browse ZIP 79916
- Phone
- 9157429558
- Fax
- 9157422363
- Primary Specialty
-
Art Therapist
221700000X
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.