Doctor Name: | MRS. SHAUNA ANNE CONWAY |
NPI Number: | 1437348174 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | SA6834 |
Business Practice Address: | 9350 Camelot Dr Fort Myers, FL - 339197980 |
Business Phone Number: | 2392820166 |
Business Fax Number: | 2393321800 |
Mailing Address: | 9350 Camelot Dr, FORT MYERS |
State: | FL |
Postal Code: | 339197980 |
Phone Number: | 2392820166 |
Fax Number: | 2393321800 |
NPI Enumeration Date: | 10/18/2007 |
NPI Last Update Date: | 10/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA6834 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |