Individual
MRS. SHANNON HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCCSLP
Contact information
Practice address
1615 WOLF CIR STE B, LAKE CHARLES, LA 70605
(337) 210-4242
Mailing address
810 E KADE LN, LAKE CHARLES, LA 70605-7197
(317) 331-6574
(337) 210-4244
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-188
LA
235Z00000X
Speech-Language Pathologist
22003466A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200710400 A
—
IN
Enumeration date
04/09/2007
Last updated
09/26/2018
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