Individual
SHANNON BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2301 YALE BLVD SE STE A3, ALBUQUERQUE, NM 87106-4350
(310) 738-5552
Mailing address
2301 YALE BLVD SE STE A3, ALBUQUERQUE, NM 87106-4350
(310) 738-5552
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14230131
NM
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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