Doctor Name: | SHANNON LYNN BATZ |
NPI Number: | 1295991776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S CCC-SLP |
License Number: | 014514-1 |
Business Practice Address: | 48 Carrie Marie Ln Hilton, NY - 144689412 |
Business Phone Number: | 5853920305 |
Business Fax Number: | |
Mailing Address: | 149 N Main St, FAIRPORT |
State: | NY |
Postal Code: | 144501434 |
Phone Number: | 5853772230 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2008 |
NPI Last Update Date: | 08/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 014514-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |