Doctor Name: | SHANNON MCDANIEL |
NPI Number: | 1174869390 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 2012015945 |
Business Practice Address: | 220 W 2nd St Apt. # 2313 Kansas City, MO - 641051680 |
Business Phone Number: | 2172422050 |
Business Fax Number: | |
Mailing Address: | 220 W 2nd St, Apt. # 2313 KANSAS CITY |
State: | MO |
Postal Code: | 641051680 |
Phone Number: | 2172422050 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2012 |
NPI Last Update Date: | 12/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2012015945 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |