Doctor Name: | MRS. SHANNON BURCHETT SCHIEDER |
NPI Number: | 1104954411 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 5085 |
Business Practice Address: | 360 Raleigh Street Holly Springs, NC - 27540 |
Business Phone Number: | 9193425754 |
Business Fax Number: | 9195520861 |
Mailing Address: | 120 Flint Point Ln, HOLLY SPRINGS |
State: | NC |
Postal Code: | 275406813 |
Phone Number: | 9195678224 |
Fax Number: | 9195520861 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5085 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |