Doctor Name: | MRS. SHANNON LEILANI FARHO |
NPI Number: | 1225461130 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 3473 |
Business Practice Address: | Lsu Comd Department 64 Hatcher Hall Baton Rouge, LA - 708030001 |
Business Phone Number: | 2255789054 |
Business Fax Number: | |
Mailing Address: | Lsu Comd Department, 64 Hatcher Hall BATON ROUGE |
State: | LA |
Postal Code: | 708030001 |
Phone Number: | 2255789054 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2013 |
NPI Last Update Date: | 08/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |