Individual
SHANNON YOUNKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3090 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5310
(719) 574-8300
(719) 574-9547
Mailing address
3090 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68174861
—
CO
Enumeration date
08/23/2006
Last updated
07/12/2007
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