Provider Demographics
NPI:1326254194
Name:SHELTON, DORIS HIGGINS (PHD)
Entity Type:Individual
Prefix:DR
First Name:DORIS
Middle Name:HIGGINS
Last Name:SHELTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 DOYAL DR
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-6106
Mailing Address - Country:US
Mailing Address - Phone:423-581-1634
Mailing Address - Fax:
Practice Address - Street 1:5250 W ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-1027
Practice Address - Country:US
Practice Address - Phone:423-318-7800
Practice Address - Fax:423-317-3332
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000313235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist