Provider Demographics
NPI:1093727208
Name:SHEWEY, MICHELLE GRABOW (M S SLP CCC)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:GRABOW
Last Name:SHEWEY
Suffix:
Gender:F
Credentials:M S SLP CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1543 S DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5234
Mailing Address - Country:US
Mailing Address - Phone:918-605-5367
Mailing Address - Fax:918-747-6598
Practice Address - Street 1:1543 S DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-5234
Practice Address - Country:US
Practice Address - Phone:918-605-5367
Practice Address - Fax:918-747-6598
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2676235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist