Individual
SHANNON STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
2503 GOODWINS CHAPEL RD, PRINCETON, WV 24739-4484
(304) 898-2541
Mailing address
1403 HONAKER AVE, PRINCETON, WV 24740-3065
(304) 487-1551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1917
WV
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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