SHANNON WHITE

Speech-Language Pathologist

Active Individual
NPI: 1598163297

Practice Address

2264 E FAUNHILL DR
Eagle, ID 83616

Phone: (208) 422-1113

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes 1074 (ID)

Frequently Asked Questions

NPI 1598163297 is the National Provider Identifier for SHANNON WHITE, a Speech-Language Pathologist provider located in Eagle, ID. This NPI was enumerated on December 11, 2014.
SHANNON WHITE practices at 2264 E FAUNHILL DR, Eagle, ID 83616.

Quick Facts

NPI
1598163297
Type
Individual
Enumerated
Dec 11, 2014
Last Updated
Dec 11, 2014

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