SHELLEY CANNON FREDERICK
NPI 1558072165
Art Therapist in El Paso, TX

Active since December 06, 2022
2496 RICKER ROAD, EL PASO, TX 79916(915) 742-9558(915) 742-2363 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shelley Cannon Frederick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLEY CANNON FREDERICK (NPI 1558072165) is an individual art therapist in El Paso, Texas, licensed in North Carolina (17-043) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1558072165
Entity TypeIndividualFemale
Primary Taxonomy221700000X
Provider Legal NameSHELLEY CANNON FREDERICK
Location Address2496 RICKER ROADEl Paso, TX 79916
Mailing Address2496 Ricker RoadEl Paso, TX 79916 · (915) 742-9558 · Fax (915) 742-2363
Fax(915) 742-2363
Sole ProprietorYes
Enumeration DateDecember 6, 2022
NPPES CertifiedDecember 1, 2022
NPI 1558072165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyArt TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code221700000X
License Licensed in NC · 17-043
Definition

(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.

2496 RICKER ROAD, El Paso, TX 79916

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Family Medicine
2496 RICKER ROAD
EL PASO, TX 79916
Physical Therapist
2496 RICKER ROAD
EL PASO, TX 79916
Nurse Practitioner (Family)
2496 RICKER ROAD
EL PASO, TX 79916
Physical Therapist (Orthopedic)
2496 RICKER ROAD
APO, AE 79916

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558072165, enumerated as an "individual" on December 06, 2022.

The provider is located at 2496 RICKER ROAD EL PASO, TX 79916 and the phone number is (915) 742-9558.

Art Therapist with taxonomy code 221700000X.