Lockhart, Shannon Leigh
Lockhart, Shannon Leigh is an individual health care provider with primary practice located at 6929 Outreach Way , North Port FL 34287-3493. 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. Lockhart, Shannon Leigh can be contacted via phone (941) 371-8820.Contact Information
Primary practice address
6929 Outreach Way
North Port FL 34287-3493
Phone: (941) 371-8820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 18230 | Florida |
Profile Details
| NPI number | 1194301663 |
|---|---|
| LBN Legal business name | Lockhart, Shannon Leigh |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2021 |
| Last updated | Mar 23rd, 2021 - about 4 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 | 1194301663 | NPPES |
| Other | 12145201 | ASHA CERTIFICATE OF CLINICAL COMPETENCE | |
| Other | 18230 | ASHA CERTIFICATE OF CLINICAL COMPETENCE |
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