Taylor, Shannon M

Taylor, Shannon M is an sole proprietor health care provider with primary practice located at 965 West Rd , Mountain Home AR 72653-4544. 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. Taylor, Shannon M can be contacted via phone (870) 204-1640.

Contact Information

Primary practice address
965 West Rd Mountain Home AR 72653-4544
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#2363 Arkansas

Profile Details

NPI number 1972723492
LBN Legal business name Taylor, Shannon M
Credentials MS,CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Jul 13th, 2016 - about 9 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 1972723492 NPPES
Arkansas MEDICAID 157914721

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