Individual
STEPHANIE JEAN SHUNNESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
800 MAIN STREET SUITE 204, ANDERSON, IN 46016-1559
(765) 644-0500
(765) 644-0510
Mailing address
800 MAIN STREET SUITE 204, ANDERSON, IN 46016-1559
(765) 644-0500
(765) 644-0510
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005203A
IN
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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