Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jacqueline Marie Shellum

Individual provider Speech-Language Pathologist · NPI 1255408589

Mrs. Jacqueline Marie Shellum is a Speech-Language Pathologist in Kenmore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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Practice location Address checks out

2565 Elmwood Ave
Kenmore, NY 14217-1939
Phone: (716) 871-9883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 012656-1 (NY)

Record details

NPI number1255408589
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 30, 2006
Last updated in NPPESJuly 8, 2007

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