Individual
SHANNON CRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 S PENN AVE, HARRISVILLE, WV 26362-1370
(304) 643-2991
Mailing address
134 S PENN AVE, HARRISVILLE, WV 26362-1370
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9400133000
—
WV
Enumeration date
03/31/2008
Last updated
03/31/2008
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