Stevens, Shannon
Stevens, Shannon is an sole proprietor health care provider with primary practice located at 12304 Santa Monica Blvd Ste 364 , Los Angeles CA 90025-1542. 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 / Speech-Language Assistant. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Stevens, Shannon can be contacted via phone (303) 710-5631.Contact Information
Primary practice address
12304 Santa Monica Blvd Ste 364
Los Angeles CA 90025-1542
Phone: (303) 710-5631
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 26569 | California |
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X |
Profile Details
| NPI number | 1942606595 |
|---|---|
| LBN Legal business name | Stevens, Shannon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2014 |
| Last updated | Nov 20th, 2023 - about 2 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 | 1942606595 | NPPES |
| California | Other | F8089848 | SELF |
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