JACQUALYN SHANNON

Developmental Therapist

Active Individual
NPI: 1114731403

Practice Address

325 AUDLEY AVE APT 4
Bowling Green, KY 42101

Phone: (615) 423-5017

Specialties

Specialty Code Primary License
Developmental Therapist 222Q00000X Yes 201237255 (KY)

Frequently Asked Questions

NPI 1114731403 is the National Provider Identifier for JACQUALYN SHANNON, a Developmental Therapist provider located in Bowling Green, KY. This NPI was enumerated on February 5, 2025.
JACQUALYN SHANNON practices at 325 AUDLEY AVE APT 4, Bowling Green, KY 42101.

Quick Facts

NPI
1114731403
Type
Individual
Enumerated
Feb 5, 2025
Last Updated
Feb 5, 2025

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