Individual
SHANNON WEYNAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
870 GOLD HILL RD STE 104, FORT MILL, SC 29708-8988
(803) 620-8250
(803) 638-6901
Mailing address
870 GOLD HILL RD STE 104, FORT MILL, SC 29708-8988
(803) 620-8250
(803) 638-6901
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
13202
NC
235Z00000X
Speech-Language Pathologist
2202008340
VA
235Z00000X
Speech-Language Pathologist
Primary
7460
SC
Other
Enumeration date
05/02/2017
Last updated
12/02/2021
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