Individual
MISS SHANNON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4560 SOUTH BLVD STE 310, VIRGINIA BEACH, VA 23452-1160
(757) 490-3223
(757) 490-2936
Mailing address
4560 SOUTH BLVD STE 310, VIRGINIA BEACH, VA 23452-1160
(757) 490-3223
(757) 490-2936
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008214
VA
Other
Enumeration date
04/17/2018
Last updated
01/24/2020
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