Roden, Shannon
Roden, Shannon is an sole proprietor health care provider with primary practice located at 1604 S Seminole Ave , Wewoka OK 74884-3923. 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. Roden, Shannon can be contacted via phone (918) 413-9710.Contact Information
Primary practice address
1604 S Seminole Ave
Wewoka OK 74884-3923
Phone: (918) 413-9710
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 218163 | Oklahoma |
Profile Details
| NPI number | 1063950475 |
|---|---|
| LBN Legal business name | Roden, Shannon |
| Credentials | M.ED., SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2017 |
| Last updated | Feb 6th, 2017 - about 9 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 | 1063950475 | NPPES |
| Oklahoma | Other | 218163 | CERTIFICATION FOR SPEECH LANGUAGE PATHOLOGY IN THE SCHOOL |
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