Shannon M Hepburn III MSP, CCC-SLP

NPI 1790847556 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1790847556
Gender Female
Enumeration Date 12/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
257 CEDARHURST DR
CANTON GA, 30115-6445, US
Phone (404) 918-5392
Fax (678) 493-4710
Business Location
257 CEDARHURST DR
CANTON GA, 30115-6445, US
Phone (404) 918-5392
Fax (678) 493-4710
Toxanomy
Taxonomy Code 235Z00000X
License State Georgia
License Number SLP004031
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According to our database, Shannon M Hepburn III MSP, CCC-SLP NPI is 1790847556, taxonomy code is 235Z00000X and license number is SLP004031, license state is located at Georgia. Shannon M Hepburn III MSP, CCC-SLP physically located at 257 Cedarhurst Dr, Canton GA, 30115-6445. NPI Number Shannon M Hepburn III MSP, CCC-SLP has the Individual type.

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1790847556 NPI number is provided on an as is basis without warranty of any kind. 1790847556 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon M Hepburn III MSP, CCC-SLP are for informational purposes only.