Individual
SHANNON ESSE BAZALDUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
17198 ST LUKES WAY, SUITE 300, THE WOODLANDS, TX 77384-8011
(936) 321-0808
Mailing address
17198 ST LUKES WAY, SUITE 300, THE WOODLANDS, TX 77384-8011
(936) 321-0808
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51262
TX
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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