Individual
SHANNON M TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
965 WEST RD, MOUNTAIN HOME, AR 72653-4544
(870) 204-1640
Mailing address
PO BOX 2621, MOUNTAIN HOME, AR 72654-2621
(870) 204-1640
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2363
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157914721
—
AR
Enumeration date
04/26/2007
Last updated
07/13/2016
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