NPI 1558072165

Shelley Cannon Frederick

Practitioner Art Therapist El Paso, TX

Practice location

Address: 2496 Ricker Road, El Paso, TX 79916
Phone: (915) 742-9558
Fax: (915) 742-2363

Registered specialties

Art Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 221700000X Licence 17-043 (NC)

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Registry record

NPI: 1558072165
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2022
Record last updated: 6 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.