Brewer, Shaunda
Brewer, Shaunda is an individual health care provider with primary practice located at 6061 Greene 707 , Paragould AR 72450-7826. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brewer, Shaunda can be contacted via phone (870) 236-0633.Contact Information
Primary practice address
6061 Greene 707
Paragould AR 72450-7826
Phone: (870) 236-0633
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1164562674 |
|---|---|
| LBN Legal business name | Brewer, Shaunda |
| Credentials | MCD,CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Sep 28th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164562674 | NPPES |
| Arkansas | MEDICAID | 159617721 |
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