Individual
MS. SHANNON SLATTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC
Contact information
Practice address
408 CEDAR RD, CHESAPEAKE, VA 23322-5516
(757) 547-1135
Mailing address
5432 MACQUEEN DR, VIRGINIA BEACH, VA 23464-7722
(757) 343-7426
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003844
VA
Other
Enumeration date
04/29/2018
Last updated
04/29/2018
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