Provider Demographics
NPI:1881197432
Name:KAUR, SHELBEER (SLP)
Entity Type:Individual
Prefix:
First Name:SHELBEER
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:SHELBEER
Other - Middle Name:
Other - Last Name:KAUR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP
Mailing Address - Street 1:15729 SAINT CLEMENT WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-6704
Mailing Address - Country:US
Mailing Address - Phone:916-616-9916
Mailing Address - Fax:
Practice Address - Street 1:4400 KIRKCALDY DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-5542
Practice Address - Country:US
Practice Address - Phone:661-688-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-09
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17-39235106S00000X
390200000X
CA36318235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program