Individual
MRS. SHANNON WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1700 SOUTH BLVD, CONWAY, AR 72034-6455
(501) 329-8102
Mailing address
1115 GERTRUDE DR, CONWAY, AR 72034-5628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1534
AR
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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