Gorman, Shauna Michelle

Gorman, Shauna Michelle is an individual health care provider with primary practice located at 10810 N Tatum Blvd Suite 102-185, Phoenix AZ 85028-6055. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Gorman, Shauna Michelle can be contacted via phone (602) 326-2619.

Contact Information

Primary practice address
10810 N Tatum Blvd Suite 102-185 Phoenix AZ 85028-6055
Phone: (602) 326-2619
Fax: (602) 297-6727
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X NONE Arizona

Profile Details

NPI number 1801926985
LBN Legal business name Gorman, Shauna Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jan 11th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801926985 NPPES
Arizona Other SLPA6317 DEPT OF HEALTH SERVICES LICENSE

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