Individual
MRS. SHANNA VAN BUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
4847 SERENE SHORES DR, GAINESVILLE, GA 30504-5213
(614) 446-1632
(706) 864-8442
Mailing address
4847 SERENE SHORES DR, GAINESVILLE, GA 30504-5213
(614) 446-1632
(706) 864-8442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003131753C
—
GA
Enumeration date
09/20/2010
Last updated
08/06/2014
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