| NPI | 1538783733 |
|---|---|
| Former Name | SHANNON ELIZABETH CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77632) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2025-08-15 |