(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003552449
Provider Name: SHELLY DIANE CARROLL SLP-ASSISTANT
Entity Type: Individual
Taxonomy Code: 2355S0801X
Specialty: Specialist/Technologist
License Number: 32758
Most Important Dates
Enumeration Date: 05/09/2022
Last Updated: 05/09/2022
Provider Practice Location
605 E BROAD ST
MANSFIELD
TX
760631794
Practice Location Phone/Fax
Phone: 8172996300
Fax:
Provider Mailing Location
909 MASQUERADE DR
MIDLOTHIAN
TX
760658882
Provider Mailing Phone/Fax
Phone: 8176583990
Fax: