Provider Demographics
NPI:1205293412
Name:SHELTON, DANIELLE E (MM, MT-BC, CEDCAT)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:E
Last Name:SHELTON
Suffix:
Gender:F
Credentials:MM, MT-BC, CEDCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3192 NATHANIEL TRCE
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32311-5704
Mailing Address - Country:US
Mailing Address - Phone:850-443-7931
Mailing Address - Fax:850-270-6932
Practice Address - Street 1:1909 HILLBROOKE TRL STE 4
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32311-7902
Practice Address - Country:US
Practice Address - Phone:850-443-7931
Practice Address - Fax:850-270-6932
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-19
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist