| Doctor Name: | MISS SHANON MARY MCINTYRE |
| NPI Number: | 1912127366 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC-SLP |
| License Number: | 12121711 |
| Business Practice Address: | 640 Grand Ave Grand Junction, CO - 815012738 |
| Business Phone Number: | 5612629124 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1993, GRAND JUNCTION |
| State: | CO |
| Postal Code: | 815021993 |
| Phone Number: | 5612629124 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 10/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 12121711 |
| 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 |