# SHANNON B PALMER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023395886
- **Gender:** F
- **Credential:** AUD, PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 1601000601 | MI | Yes |

## Other

- **Enumeration date:** 11/08/2011
- **Last updated:** 11/08/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 14030014 | ASHA | MI |
| 01 | — | 1601000601 | STATE LICENSE | MI |