SHANNON THAYER

MEDFORD, NY
NPI1073244224
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  030715)
Enumeration Date2022-06-20
Last Update Date2022-06-20
Business Address
SHANNON THAYER MS, CCC-SLP
3115 HORSEBLOCK RD
MEDFORD, NY 11763-2526
Phone number: 631-730-3039
Mailing Address
SHANNON THAYER MS, CCC-SLP
225 VANDERBILT LOOP
YAPHANK, NY 11980-2047
Phone number: