Individual
SHANNON LEIGH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
1 SUTPHIN DR, MARMET, WV 25315-1977
(304) 949-1580
Mailing address
653 BEECH AVE, CHARLESTON, WV 25302-2733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0745
WV
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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