National Provider Identifier
Shannon Bentley, CLC
Shannon Bentley, CLC is listed in the NPPES registry with a primary specialty of Lactation Consultant (Non-RN) in Ithaca, NY and a listed phone number of (888) 991-6772.
Profile Overview
- NPI
- 1497636823
- Provider Type
- Individual
- Primary Specialty
- Lactation Consultant (Non-RN)
- Enumeration Date
- September 11, 2025
- Last Updated
- September 11, 2025
Practice Location
- 314 E State St
- Ithaca, NY 14850-4318
Phone: (888) 991-6772
Mailing Address
- 1233 S Gilbert RD Apt 6308
- Gilbert, AZ 85296-4902
Specialties
- Lactation Consultant (Non-RN) (174N00000X)
Full Record
- NPI
- 1497636823
- Entity Type
- Individual
- Last Name
- Bentley
- First Name
- Shannon
- Credential
- CLC
- Mailing Street Address
- 1233 S Gilbert RD Apt 6308
- Mailing City
- Gilbert
- Mailing State
- AZ
- Mailing ZIP Code
- 85296-4902
- Mailing Country
- US
- Practice Street Address
- 314 E State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4318
- Practice Country
- US
- Practice Phone
- (888) 991-6772
- Enumeration Date
- September 11, 2025
- Last Updated
- September 11, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- September 11, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Lactation Consultant (Non-RN) (174N00000X)