Individual
SHANNON LEE GUNDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3941 E BASELINE RD STE 101, GILBERT, AZ 85234-2750
(480) 787-5387
Mailing address
1440 E LEXINGTON AVE, GILBERT, AZ 85234-0400
(724) 328-1806
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP15368
AZ
Other
Enumeration date
05/31/2019
Last updated
07/16/2024
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