MR. Shannon Gilliam
NPI #1750100335 in Valley Village, California
Provider Information
- NPI Number
- 1750100335
- Entity Type
- Individual
- Name
- MR. Shannon Gilliam
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Oct 9, 2024
- Last Updated
- Oct 9, 2024
Practice Location
- Address
- 11911 MAGNOLIA BLVD
- Address 2
- UNIT 11
- City
- Valley Village
- State
- California
- ZIP Code
- 91607-4485
- Phone
- (773) 329-3173
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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