Provider Demographics
NPI:1730513813
Name:ROEMER, SHELBY J (AUD)
Entity type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:J
Last Name:ROEMER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:SHELBY
Other - Middle Name:J
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:513 CRYSTAL LAKE DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-1936
Mailing Address - Country:US
Mailing Address - Phone:321-863-5355
Mailing Address - Fax:
Practice Address - Street 1:6525 3RD ST STE 310
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-5749
Practice Address - Country:US
Practice Address - Phone:321-863-5355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-26
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist