Individual
SHELBY JEAN O'BANION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3737 E 5TH AVE, SPOKANE, WA 99202-5099
(509) 354-4100
Mailing address
200 N BERNARD ST, SPOKANE, WA 99201-0206
(509) 354-5900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61003362
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14180942
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA)
—
01
—
LL61003362
WA DEPARTMENT OF HEALTH
WA
Enumeration date
12/09/2019
Last updated
12/09/2019
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