Individual
SHANNON B PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, PHD
Contact information
Practice address
1101 HEALTH PROFESSIONS BRG, MT PLEASANT, MI 48859-0001
(989) 774-3904
(989) 774-1891
Mailing address
1101 HEALTH PROFESSIONS BRG, MT PLEASANT, MI 48859-0001
(989) 774-3904
(989) 774-1891
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000601
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14030014
ASHA
MI
01
—
1601000601
STATE LICENSE
MI
Enumeration date
11/08/2011
Last updated
11/08/2011
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