Individual
MS. SHANNON LEIGH VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
11210 WAYZATA BLVD, SUITE D, MINNETONKA, MN 55305-2058
(952) 746-3011
(952) 746-3012
Mailing address
11210 WAYZATA BLVD, SUITE D, MINNETONKA, MN 55305-2058
(952) 746-3011
(952) 746-3012
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
7789
MN
Other
Enumeration date
08/31/2007
Last updated
03/28/2008
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