National Provider Identifier
Shannon M Anderson, MS CCC-SLP/L
Shannon M Anderson, MS CCC-SLP/L is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Clifton Springs, NY and a listed phone number of (315) 548-6631.
Profile Overview
- NPI
- 1407224751
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 03, 2015
- Last Updated
- September 03, 2015
Practice Location
- 1550 State Route 488
- Clifton Springs, NY 14432-9308
Phone: (315) 548-6631
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1407224751
- Entity Type
- Individual
- Last Name
- Anderson
- First Name
- Shannon
- Middle Name
- M
- Name Prefix
- MS.
- Credential
- MS CCC-SLP/L
- Mailing Street Address
- 1550 State Route 488
- Mailing City
- Clifton Springs
- Mailing State
- NY
- Mailing ZIP Code
- 14432-9308
- Mailing Country
- US
- Mailing Phone
- (315) 548-6631
- Practice Street Address
- 1550 State Route 488
- Practice City
- Clifton Springs
- Practice State
- NY
- Practice ZIP Code
- 14432-9308
- Practice Country
- US
- Practice Phone
- (315) 548-6631
- Enumeration Date
- September 03, 2015
- Last Updated
- September 03, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)