Individual provider · NPI-1

Shannon Theresa Butler, M.A., CCC-A

Audiologist · Memphis, TN

NPI number1295985018
StatusActive
Last updated in NPPESDec 14, 2009

Details

NPI
1295985018
Entity type
Individual (NPI-1)
Name
Shannon Theresa Butler
Credential
M.A., CCC-A
Sex
Female
Sole proprietor
No
Enumeration date
Sep 29, 2008
Last updated
Dec 14, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist––Yes

Practice location

1838 Union Ave
Memphis, TN 38104-3941

Phone 901-726-0044 · Fax 901-726-0858

Mailing address

1838 Union Ave
Memphis, TN 38104-3941

Phone 901-726-0044 · Fax 901-726-0858

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