Randall, Shannon K

Randall, Shannon K is an sole proprietor health care provider with primary practice located at 2172 N Arizola Rd , Casa Grande AZ 85122-6372. 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. Randall, Shannon K can be contacted via phone (520) 876-5397.

Contact Information

Primary practice address
2172 N Arizola Rd Casa Grande AZ 85122-6372
Phone: (520) 876-5397
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SLPA10368 Arizona

Profile Details

NPI number 1265958912
LBN Legal business name Randall, Shannon K
Credentials SLPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2017
Last updated Aug 15th, 2017 - about 7 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 1265958912 NPPES
Arizona Other SLPA10368 SLPA LICENCE

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