Individual
MRS. SHANNA HEMMERLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(352) 573-8086
Mailing address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(352) 573-8086
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA 10675
FL
282N00000X
General Acute Care Hospital
Primary
SA 10675
FL
283X00000X
Rehabilitation Hospital
SA 10675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA 10675
DEPARTMENT OF HEALTH
FL
Enumeration date
11/12/2013
Last updated
11/12/2013
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