Shannon Gail Stark, M.A. CCC/SLP, NP-C
NPI #1003129438 in Sidney, New York
Provider Information
- NPI Number
- 1003129438
- Entity Type
- Individual
- Name
- Shannon Gail Stark, M.A. CCC/SLP, NP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- M.A. CCC/SLP, NP-C
- Enumeration Date
- Jul 14, 2010
- Last Updated
- Feb 4, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
| Nurse Practitioner - Family — Family |
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