MRS. Shannon Stanush, EIS

NPI #1124329933 in Lytle, Texas

Provider Information

NPI Number: 1124329933
Entity Type: Individual
Name: MRS. Shannon Stanush, EIS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: EIS
Enumeration Date: Nov 10, 2010
Last Updated: Nov 10, 2010

Practice Location

Address: 19965 FM 3175
City: Lytle
State: Texas
ZIP Code: 78052-3481
Phone: (210) 357-0395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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