Individual
DAISHA SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4798 HAIRSTON CROSSING RD, STONE MOUNTAIN, GA 30083-3464
(678) 858-7519
Mailing address
4798 HAIRSTON CROSSING RD, STONE MOUNTAIN, GA 30083-3464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008356
GA
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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