Individual
AMY MARIE SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA SLP
Contact information
Practice address
3204 TALL GRASS DR, NAPERVILLE, IL 60564-8253
(630) 428-7400
Mailing address
780 SHORELINE DR, AURORA, IL 60504-6192
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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