Individual
MS. SHANNON R. BASSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5305 W VILLAGE PKWY STE 9, ROGERS, AR 72758-8116
(479) 401-2077
Mailing address
3515 SWEETGUM LN, SPRINGDALE, AR 72764-6614
(479) 790-9580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P7974
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161828721
—
AR
Enumeration date
12/11/2006
Last updated
01/11/2017
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