Individual
MRS. SHAWNTELLE DEONE SHUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
12899 E 76TH ST N, OWASSO, OK 74055-4021
(918) 609-6003
Mailing address
1030 LOFTIS BLVD, NEWPORT NEWS, VA 23606-2999
(757) 720-0099
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1939
KS
235Z00000X
Speech-Language Pathologist
2202011548
VA
235Z00000X
Speech-Language Pathologist
30003057
NC
235Z00000X
Speech-Language Pathologist
6152
OK
Other
Enumeration date
01/21/2009
Last updated
08/23/2024
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