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Individual
SHANNON WOODLAND
Active
Individual
SHANNON WOODLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
5147
CA
235Z00000X
Speech-Language Pathologist
Primary
21771
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21771
SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY AND HEARING DISPENSERS BOARD
CA
01
—
5147
SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY AND HEARING AID BOARD
CA
Enumeration date
10/09/2018
Last updated
06/12/2026
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