Provider Demographics
NPI:1558437806
Name:SHEDD, MONICA LYNN (AUD)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:LYNN
Last Name:SHEDD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:MONICA
Other - Middle Name:LYNN
Other - Last Name:FURFARO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:3 MARYLAND FARMS STE 200
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5780
Mailing Address - Country:US
Mailing Address - Phone:615-345-5400
Mailing Address - Fax:888-468-6603
Practice Address - Street 1:204 CHEROKEE ROSE CIR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7120
Practice Address - Country:US
Practice Address - Phone:405-443-0686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU 22322084N0600X, 231H00000X
CAHA 5071237600000X
TX80639231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter