Wellformed AI

NPI 1285114348 · live from the CMS NPI Registry

Shannon Boele, MS, CCC-SLP

Speech-Language Pathologist, in Falling Waters, WV. National Provider Identifier 1285114348, active.

NPI record

NPI1285114348 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location36 Heron Ln, Falling Waters, WV 25419
Practice phone814-341-4890
EnumeratedAugust 17, 2018
Last updatedAugust 17, 2018
Sole proprietorNo
Other namesShannon Monteith

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000XSLP-1889 (WV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.