Individual
SHANDRA PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6352 CADBURY LN, MONTGOMERY, AL 36116-4349
(334) 318-0317
Mailing address
6352 CADBURY LN, MONTGOMERY, AL 36116-4349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14040870
AL
235Z00000X
Speech-Language Pathologist
Primary
3742
AL
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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