Individual
SHANNON NICHOLE BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3934 KENSINGTON DR, CHATTANOOGA, TN 37415-3616
(817) 504-7690
Mailing address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-4300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
114158
TX
235Z00000X
Speech-Language Pathologist
Primary
7423
TN
Other
Enumeration date
12/17/2018
Last updated
05/28/2021
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