Organization

Shannon Taylor, Speech Language Pathologist, Inc.

Speech-Language Pathologist in Port St Lucie, FL(View on Map)

Legal Business Name

Shannon Taylor, Speech Language Pathologist, Inc.

NPI Number

1346652872

NPI Type

Organization

Enumeration Date

06/02/2014

Specialties

(Taxonomies)

Code

235Z00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

SA7003

Contact
Information

Purpose

Mailing
Location

Address

2456 SW INDEPENDENCE RD
2456 SW INDEPENDENCE RD

City

Port St Lucie
Port St Lucie

State

FL
FL

Postal Code

34953-2415
34953-2415

Country

US
US

Telephone Number

(772) 528-1842
(772) 528-1842

Authorized Official

Name

Ms. Shannon Taylor

Title or Position

OWNER

Telephone Number

(772) 528-1842

Identifiers

Identifier

892221700

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/02/2014

Provider Address

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