| NPI | 1831661701 |
|---|---|
| Former Name | SHANNON NICHOLE SPEAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 7423) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 114158) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2021-05-28 |