Individual
SHANNON MARY BAURICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. SLP, M.A. ED.
Contact information
Practice address
1230 BAY ST, PORT ORCHARD, WA 98366
(206) 491-9195
(360) 329-7828
Mailing address
1230 BAY ST, PORT ORCHARD, WA 98366-5214
(206) 491-9195
(360) 329-7828
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60174701
WA
235Z00000X
Speech-Language Pathologist
SI60113015
WA
Other
Enumeration date
10/08/2009
Last updated
06/11/2019
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