| Doctor Name: | SHANNON MARY BAURICHTER |
| NPI Number: | 1669707626 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. SLP, M.A. ED. |
| License Number: | SI60113015 |
| Business Practice Address: | 4700 Point Fosdick Dr Nw Suite 213 Gig Harbor, WA - 983351706 |
| Business Phone Number: | 2538510007 |
| Business Fax Number: | 2538536922 |
| Mailing Address: | 4700 Point Fosdick Dr Nw, Suite 213 GIG HARBOR |
| State: | WA |
| Postal Code: | 983351706 |
| Phone Number: | 2538510007 |
| Fax Number: | 2538536922 |
| NPI Enumeration Date: | 10/08/2009 |
| NPI Last Update Date: | 10/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SI60113015 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |