Individual
JOANNE DISTILO-SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
106 WOODLAND AVE, GLENSHAW, PA 15116-2009
(215) 519-8917
Mailing address
106 WOODLAND AVE, GLENSHAW, PA 15116-2009
(215) 519-8917
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
018680-1
NY
235Z00000X
Speech-Language Pathologist
Primary
SL007734
PA
Other
Enumeration date
07/12/2010
Last updated
04/08/2021
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