Shannon Thayer, MS, CCC-SLP

NPI #1073244224 in Medford, New York

Provider Information

NPI Number
1073244224
Entity Type
Individual
Name
Shannon Thayer, MS, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MS, CCC-SLP
Enumeration Date
Jun 20, 2022
Last Updated
Jun 20, 2022

Practice Location

Address
3115 HORSEBLOCK RD
ZIP Code
11763-2526
Phone
(631) 730-3039

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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