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

Shelley Cannon Frederick

Individual provider Art Therapist · NPI 1558072165

Shelley Cannon Frederick is an Art Therapist in El Paso, Texas. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

2496 Ricker Rd
El Paso, TX 79916
Phone: (915) 742-9558
Fax: (915) 742-2363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Art Therapist (primary) Taxonomy 221700000X · Licence 17-043 (NC)

Record details

NPI number1558072165
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 6, 2022
Last updated in NPPESDecember 6, 2022
Certification dateDecember 1, 2022
Mailing address2496 Ricker Road, El Paso, TX 79916