Shepard, Kanessia
Shepard, Kanessia is an sole proprietor health care provider with primary practice located at 9716 Lake Pointe Ct Apt 101 , Upper Marlboro MD 20774-4714. 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. Shepard, Kanessia can be contacted via phone (240) 788-7089.Contact Information
Primary practice address
9716 Lake Pointe Ct Apt 101
Upper Marlboro MD 20774-4714
Phone: (240) 788-7089
Fax: (240) 788-7089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 05330 | Maryland |
Profile Details
| NPI number | 1992781868 |
|---|---|
| LBN Legal business name | Shepard, Kanessia |
| Credentials | MA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Sep 22nd, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992781868 | NPPES |
| North Carolina | Other | 141EN | NC BCBS |
| North Carolina | MEDICAID | 7412441 | NC BCBS |
Popular Providers
-
Squire, Shrita
14308 Hampshire Hall Ct , Upper Marlboro MD 20772-2955 -
Carrington-Brown, Stephanie
14201 School Ln , Upper Marlboro MD 20772-2866 -
Wurie, Kristin
9440 Pennsylvania Ave Suite 210, Upper Marlboro MD 20772-3659 -
Matthews, Malika
12411 Alamance Way , Upper Marlboro MD 20772-9351 -
Wyatt, Anita Galloway
9823 Sandpiper Dr , Upper Marlboro MD 20772-4762 -
Dowtin, Helen
12802 Center Park Way , Upper Marlboro MD 20772-5196 -
Gilmore, Naya
14201 School Ln , Upper Marlboro MD 20772-2866 -
Shaw, Vanessa Caryl
7303 Havre Turn , Upper Marlboro MD 20772-4209