Blackstone, Shannon

Blackstone, Shannon is an individual health care provider with primary practice located at 33 Percy St Apt B , Charleston SC 29403-5957. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Blackstone, Shannon can be contacted via phone (803) 212-8971.

Contact Information

Primary practice address
33 Percy St Apt B Charleston SC 29403-5957
Phone: (803) 212-8971
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4673 South Carolina
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1164732616
LBN Legal business name Blackstone, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2010
Last updated Jul 15th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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