Individual
MRS. SHANNA HEADLEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1700 MIDWAY RD, MENASHA, WI 54952-1230
(406) 223-9241
Mailing address
1700 MIDWAY RD, MENASHA, WI 54952-1230
(406) 223-9241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1203
MT
235Z00000X
Speech-Language Pathologist
Primary
3872
WI
Other
Enumeration date
11/22/2005
Last updated
06/18/2019
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