Doctor Name: | SHANNON JONES |
NPI Number: | 1538392857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC/SLP |
License Number: | 24874 |
Business Practice Address: | 2333 Manor Dr Bryan, TX - 778021907 |
Business Phone Number: | 9798217330 |
Business Fax Number: | |
Mailing Address: | 3903 Oak Bluff Cir, BRYAN |
State: | TX |
Postal Code: | 778024726 |
Phone Number: | 9795876003 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2009 |
NPI Last Update Date: | 10/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 24874 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |