Individual
MRS. SHANNON HENSON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC SLP
Contact information
Practice address
6600-A ROYAL ST, PLEASANT VALLEY, MO 64068-8744
(816) 476-4011
Mailing address
1440 NATALEE CT, LIBERTY, MO 64068-3290
(310) 663-0706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2007018723
MO
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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