NPI 1750637047 · live from the CMS NPI Registry
Shannon Brennan
Speech-Language Pathologist, in Whitefish, MT. National Provider Identifier 1750637047, active.
NPI record
| NPI | 1750637047 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2006 Hospital Way, Whitefish, MT 59937 |
| Practice phone | 406-862-9378 |
| Enumerated | July 24, 2012 |
| Last updated | July 24, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SLP-SP-LIC-2204 (MT) |
| Speech-Language Pathologist, | 235Z00000X | 2202006278 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.