Individual
CLAUDIA SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-S
Contact information
Practice address
5405 ROUNDTREE ST, SHAWNEE, KS 66226-3886
(913) 461-4715
Mailing address
5405 ROUNDTREE ST, SHAWNEE, KS 66226-3886
(913) 461-4715
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
564
KS
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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