Provider Demographics
NPI:1700269073
Name:COLE, SHELBY JACLYN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:JACLYN
Last Name:COLE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5951 MIDDLEFIELD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-7917
Mailing Address - Country:US
Mailing Address - Phone:720-328-9920
Mailing Address - Fax:720-328-9920
Practice Address - Street 1:5951 MIDDLEFIELD RD STE 100
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-7917
Practice Address - Country:US
Practice Address - Phone:720-328-9920
Practice Address - Fax:720-328-9920
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-06
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111306235Z00000X
CO0002709235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist