Individual
SHANNON JANE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
533 241ST LN SE, SAMMAMISH, WA 98074-3681
(206) 550-3616
Mailing address
533 241ST LN SE, SAMMAMISH, WA 98074-3681
(206) 550-3616
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003658
WA
Other
Enumeration date
05/13/2008
Last updated
09/19/2012
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