Individual
SHANNA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC
Contact information
Practice address
639 W CHESTNUT EXPY, SPRINGFIELD, MO 65802-3935
(417) 523-7500
Mailing address
407 SEQUOIA DR, NIXA, MO 65714-8455
(417) 830-3741
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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