Shannon Renee Kirsch
Speech-Language Pathologist, in Carrolltown, PA. Individual provider (NPI-1).
NPI number1184032385
StatusActive
Last updated in NPPESJul 31, 2014
Details
- NPI
- 1184032385
- Entity type
- Individual (NPI-1)
- Name
- Shannon Renee Kirsch
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 31, 2014
- Last updated
- Jul 31, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SL007132 | PA | Yes |
Practice location
596 Buckwheat Hill RdCarrolltown, PA 15722-9006
Phone 814-948-6041
Mailing address
596 Buckwheat Hill RdCarrolltown, PA 15722-9006
Phone 814-948-6041
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