Individual
MRS. SHANNON M WEATHERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, CCC-SLP
Contact information
Practice address
2101 VALLEY DR, HIGH RIDGE, MO 63049-2655
(636) 343-5466
Mailing address
2101 VALLEY DR, HIGH RIDGE, MO 63049-2655
(636) 343-5466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004017835
MO
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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