Cormier, Shannon
Cormier, Shannon is an individual health care provider with primary practice located at 4403 Mallard Lane , Conway AR 72034. 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. Cormier, Shannon can be contacted via phone (501) 804-8770.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP#1908 | Arkansas |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 12027998 |
Profile Details
| NPI number | 1962596429 |
|---|---|
| LBN Legal business name | Cormier, Shannon |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962596429 | NPPES |
| Arkansas | Other | 5X227 | BLUE CROSS BLUE SHIELD |
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