National Provider Identifier
Shannon L Whitacre
Shannon L Whitacre is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Tonawanda, NY and a listed phone number of (716) 833-4884.
Profile Overview
- NPI
- 1811136708
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- February 17, 2009
- Last Updated
- February 17, 2009
Practice Location
- 2545 Sheridan Drive
- Tonawanda, NY 14150
Phone: (716) 833-4884
Mailing Address
- 120 Lamson RD
- Tonawanda, NY 14223-2537
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1811136708
- Entity Type
- Individual
- Last Name
- Whitacre
- First Name
- Shannon
- Middle Name
- L
- Mailing Street Address
- 120 Lamson RD
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14223-2537
- Mailing Country
- US
- Mailing Phone
- (716) 316-8392
- Practice Street Address
- 2545 Sheridan Drive
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150
- Practice Country
- US
- Practice Phone
- (716) 833-4884
- Enumeration Date
- February 17, 2009
- Last Updated
- February 17, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)