Doctor Name: | MS. SHANNON DEMEDEIROS |
NPI Number: | 1770917858 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 8880 |
Business Practice Address: | 49 State Road Watuppa Bldg Suite 104-105 North Dartmouth, MA - 02747 |
Business Phone Number: | 5089851996 |
Business Fax Number: | 5089850067 |
Mailing Address: | 49 State Road, Watuppa Bldg Suite 104-105 NORTH DARTMOUTH |
State: | MA |
Postal Code: | 02747 |
Phone Number: | 5089851996 |
Fax Number: | 5089850067 |
NPI Enumeration Date: | 08/26/2013 |
NPI Last Update Date: | 08/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8880 |
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 |