| Doctor Name: | MRS. SHANA C PEREZ |
| NPI Number: | 1205956679 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M. S. CCC-SLP |
| License Number: | 117276 |
| Business Practice Address: | 22808 E Highway 86 Granby, MO - 648447416 |
| Business Phone Number: | 4176283227 |
| Business Fax Number: | |
| Mailing Address: | 1012 Hickory St, CASSVILLE |
| State: | MO |
| Postal Code: | 656252000 |
| Phone Number: | 4178476406 |
| Fax Number: | |
| NPI Enumeration Date: | 03/30/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 117276 |
| 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 |