Individual
SHANNON ROYBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S CCC-SLP
Contact information
Practice address
1550 N CRESTMONT DR STE F, MERIDIAN, ID 83642-2177
(208) 606-0442
Mailing address
1550 N CRESTMONT DR STE F, MERIDIAN, ID 83642-2177
(208) 606-0442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-5966
ID
Other
Enumeration date
12/20/2023
Last updated
09/30/2024
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