Butler, Shannon Marie

Butler, Shannon Marie is an sole proprietor health care provider with primary practice located at 19465 Deerfield Avenue, Suite 201 , Lansdowne VA 20176. 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. Butler, Shannon Marie can be contacted via phone (703) 858-7620.

Contact Information

Primary practice address
19465 Deerfield Avenue, Suite 201 Lansdowne VA 20176
Phone: (703) 858-7620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202005359 Virginia

Profile Details

NPI number 1518135250
LBN Legal business name Butler, Shannon Marie
Credentials M.S., CCC/SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2008
Last updated May 7th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518135250 NPPES
Virginia MEDICAID 2008101021

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