| Doctor Name: | SHANNON M WITTER |
| NPI Number: | 1699189761 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | 9201 |
| Business Practice Address: | 299 Faunce Corner Rd North Dartmouth, MA - 027471218 |
| Business Phone Number: | 5089950700 |
| Business Fax Number: | 5089953070 |
| Mailing Address: | 200 Mill Rd, Suite 180 FAIRHAVEN |
| State: | MA |
| Postal Code: | 027195252 |
| Phone Number: | 5089732000 |
| Fax Number: | 5089732001 |
| NPI Enumeration Date: | 06/17/2014 |
| NPI Last Update Date: | 06/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 9201 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| 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 |