Individual
SHANNA ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19361 US HIGHWAY 12, EDWARDSBURG, MI 49112-9229
(760) 505-2070
Mailing address
19361 US HIGHWAY 12, EDWARDSBURG, MI 49112-9229
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008206A
IN
Other
Enumeration date
09/12/2022
Last updated
03/19/2026
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