Individual
MRS. SHANNON TAWN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
8900 COBBLER LANE, LAFAYETTE, IN 47905
(765) 412-0788
Mailing address
8900 COBBLER LN, LAFAYETTE, IN 47905-7720
(765) 412-0788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004133A
IN
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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