Doctor Name: | MRS. SHANNON KELLY PARNELL |
NPI Number: | 1457474777 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP, P.C. |
License Number: | 2202002691 |
Business Practice Address: | 2301 Research Blvd Rockville, MD - 208503204 |
Business Phone Number: | 3014245200 |
Business Fax Number: | 3014248063 |
Mailing Address: | 26208 Rudale Dr, CLARKSBURG |
State: | MD |
Postal Code: | 208719658 |
Phone Number: | 7038696085 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 08/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202002691 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
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 |