Provider Demographics
NPI:1447532312
Name:SHEARER, PAULETTE BUSKO (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:PAULETTE
Middle Name:BUSKO
Last Name:SHEARER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2064 CALLE YUCCA
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-2256
Mailing Address - Country:US
Mailing Address - Phone:858-776-7299
Mailing Address - Fax:
Practice Address - Street 1:2064 CALLE YUCCA
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-2256
Practice Address - Country:US
Practice Address - Phone:858-776-7299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital