Individual
DR. SHANNON MARIE GROUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-1434
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-1434
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001543
VA
231HA2400X
Assistive Technology Practitioner Audiologist
AT005999
PA
231HA2500X
Assistive Technology Supplier Audiologist
AT005999
PA
237600000X
Audiologist-Hearing Aid Fitter
AT005999
PA
Other
Enumeration date
02/28/2007
Last updated
02/25/2020
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