Individual
SHANNON H LIGHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
10530 SPOTSYLVANIA AVE STE 102, FREDERICKSBURG, VA 22408-2693
(540) 891-4485
Mailing address
10530 SPOTSYLVANIA AVE STE 102, FREDERICKSBURG, VA 22408-2693
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007261
VA
Other
Enumeration date
05/31/2017
Last updated
04/23/2019
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