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Organization
SHINE THERAPY CENTER, INC.
Active
Organization
SHINE THERAPY CENTER, INC.
Active
Other names
Shine Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE NICOLE SHAHAN SLP.D, CCC-SLP (DIRECTOR/OWNER/SLP)
(707) 474-9949
Entity
Organization
Contact information
Practice address
183 BUTCHER RD, SUITE B, VACAVILLE, CA 95687-5690
(707) 474-9949
Mailing address
183 BUTCHER RD, SUITE B, VACAVILLE, CA 95687-5690
(707) 474-9949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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