Doctor Name: | SHAWN MERRITT |
NPI Number: | 1093176612 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CCC-SLP |
License Number: | 8349 |
Business Practice Address: | 4801 Veterans Dr Building 116 Saint Cloud, MN - 563032015 |
Business Phone Number: | 3202556480 |
Business Fax Number: | |
Mailing Address: | 4801 Veterans Dr, Building 116 SAINT CLOUD |
State: | MN |
Postal Code: | 563032015 |
Phone Number: | 3202556480 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2016 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |