Doctor Name: | MRS. SHANNON HENSON TAYLOR |
NPI Number: | 1477744944 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC SLP |
License Number: | 2007018723 |
Business Practice Address: | 6600-a Royal St Pleasant Valley, MO - 640688744 |
Business Phone Number: | 8164764011 |
Business Fax Number: | |
Mailing Address: | 1440 Natalee Ct, LIBERTY |
State: | MO |
Postal Code: | 640683290 |
Phone Number: | 3106630706 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2007 |
NPI Last Update Date: | 08/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2007018723 |
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 |