Individual
MRS. SHANNON TARRH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
3017 TIM TAM TRL, VERSAILLES, KY 40383-9175
(765) 237-1466
Mailing address
3017 TIM TAM TRL, VERSAILLES, KY 40383-9175
(765) 237-1466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
141177
KY
235Z00000X
Speech-Language Pathologist
22003229A
IN
235Z00000X
Speech-Language Pathologist
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141177
STATE LICENCE NUMBER
KY
Enumeration date
05/06/2010
Last updated
06/24/2016
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