Individual
MRS. AMY ANN SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2805 CHARLES BRYAN RD, BARTLETT, TN 38134-4756
(901) 388-4775
Mailing address
8288 FLORAL SPRING DR, CORDOVA, TN 38016-9611
(901) 757-8805
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000002472
TN
Other
Enumeration date
04/07/2007
Last updated
07/08/2007
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