Bothwell, Shannon Elyse

Bothwell, Shannon Elyse is an individual health care provider with primary practice located at 6239 S East St Ste A , Indianapolis IN 46227-2088. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bothwell, Shannon Elyse can be contacted via phone (317) 442-4734.

Contact Information

Primary practice address
6239 S East St Ste A Indianapolis IN 46227-2088
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 46002739A Indiana

Profile Details

NPI number 1205215407
LBN Legal business name Bothwell, Shannon Elyse
Credentials M.S. SLP-CFY
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2015
Last updated May 21st, 2015 - about 11 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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