Most Relevant Information
Provider Data
| NPI Number: | 1003549254 |
| Provider Name: | SHAWNA MORELAND |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 118362 |
Most Important Dates
| Enumeration Date: | 07/06/2022 |
| Last Updated: | 07/06/2022 |
Provider Practice Location
3639 FM 1565
CADDO MILLS
TX
751357389
Practice Location Phone/Fax
| Phone: | 9035273525 |
| Fax: |
Provider Mailing Location
128 FAIRCREST DR
DESOTO
TX
751155219
Provider Mailing Phone/Fax
| Phone: | 2148924360 |
| Fax: |