Individual
SHANNON WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
3440 S OLEANDER DR, CHANDLER, AZ 85248-3655
(480) 726-0000
Mailing address
5656 E HARMONY AVE, MESA, AZ 85206-6762
(480) 659-0536
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4236
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP4236
ARIZONA LICENCE NUMBER
AZ
Enumeration date
03/27/2007
Last updated
07/08/2007
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