Provider Demographics
NPI:1578638128
Name:FRANCIS, SHELLEY LYNN
Entity Type:Individual
Prefix:
First Name:SHELLEY
Middle Name:LYNN
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:576 MERRICK AVE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-3702
Mailing Address - Country:US
Mailing Address - Phone:516-489-9327
Mailing Address - Fax:516-481-6976
Practice Address - Street 1:576 MERRICK AVE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-3702
Practice Address - Country:US
Practice Address - Phone:516-489-9327
Practice Address - Fax:516-481-6976
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001084237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter