SHANNON MEDINA

Speech-Language Pathologist

Active Individual
NPI: 1164682209

Practice Address

363 MCKNIGHT AVE
West Fork, AR 72774

Phone: (479) 839-3035

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes SP1338 (AR)

Frequently Asked Questions

NPI 1164682209 is the National Provider Identifier for SHANNON MEDINA, a Speech-Language Pathologist provider located in West Fork, AR. This NPI was enumerated on June 12, 2008.
SHANNON MEDINA practices at 363 MCKNIGHT AVE, West Fork, AR 72774.

Quick Facts

NPI
1164682209
Type
Individual
Enumerated
Jun 12, 2008
Last Updated
Apr 18, 2011

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