| Doctor Name: | SHANNON HAYNES WAID |
| NPI Number: | 1073847505 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MCD, CCC-SLP, AVT |
| License Number: | 1599 |
| Business Practice Address: | 2290 Moores Mill Rd Suite #400 Auburn, AL - 368308431 |
| Business Phone Number: | 3343193684 |
| Business Fax Number: | |
| Mailing Address: | 1639 Covington Rdg, AUBURN |
| State: | AL |
| Postal Code: | 368306647 |
| Phone Number: | 3343193684 |
| Fax Number: | |
| NPI Enumeration Date: | 09/30/2009 |
| NPI Last Update Date: | 01/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 1599 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |