NPI 1770002933 · live from the CMS NPI Registry
Shannon Brooks
Speech-Language Pathologist, in Hurricane, WV. National Provider Identifier 1770002933, active.
NPI record
| NPI | 1770002933 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 101 Carriage PT Ste 202, Hurricane, WV 25526 |
| Practice phone | 681-235-7156 |
| Mailing address | Po Box 977, Hurricane, WV 25526 |
| Enumerated | September 19, 2017 |
| Last updated | September 19, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 0717 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.