Individual
MRS. SHANNON SHELTON WHITTENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
94 FOOTHILLS AVE, ALBANY, KY 42602-1091
(606) 451-9672
Mailing address
3104 GRIDER HILL DOCK RD, ALBANY, KY 42602-7178
(606) 387-9448
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2404
KY
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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