Doctor Name: | MRS. SHANNON LEIGH BARBER |
NPI Number: | 1700186160 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | SA 8647 |
Business Practice Address: | 5033 Fairfield Dr Fort Myers, FL - 339191903 |
Business Phone Number: | 2392431000 |
Business Fax Number: | |
Mailing Address: | 5033 Fairfield Dr, FORT MYERS |
State: | FL |
Postal Code: | 339191903 |
Phone Number: | 2392431000 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2010 |
NPI Last Update Date: | 11/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 8647 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |