National Provider Identifier

Shannon Marie Ferguson, CCC-LSLP

Shannon Marie Ferguson, CCC-LSLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Batavia, NY and a listed phone number of (585) 343-1356.

NPI 1629229695Batavia, NYSpeech-Language Pathologist

Profile Overview

NPI
1629229695
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 08, 2008
Last Updated
October 08, 2008

Practice Location

  • 3461 Pratt RD.
  • Batavia, NY 14020

Phone: (585) 343-1356

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1629229695
Entity Type
Individual
Last Name
Ferguson
First Name
Shannon
Middle Name
Marie
Name Prefix
MS.
Credential
CCC-LSLP
Mailing Street Address
3461 Pratt RD.
Mailing City
Batavia
Mailing State
NY
Mailing ZIP Code
14020
Mailing Country
US
Mailing Phone
(585) 343-1356
Practice Street Address
3461 Pratt RD.
Practice City
Batavia
Practice State
NY
Practice ZIP Code
14020
Practice Country
US
Practice Phone
(585) 343-1356
Enumeration Date
October 08, 2008
Last Updated
October 08, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)