Shannon T. Licano in Phoenix - Speech-language Pathologist
Shannon T. Licano - NPI 1811018427
Shannon T. Licano is a Speech-language Pathologist in Phoenix, Arizona. Shannon T. Licano practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Shannon T. Licano is 1811018427. The last update date is 2014-07-09.
Shannon T. Licano's current location address is Po Box 16906, Phoenix, Arizona. You can contact this provider via phone number 6022791427. The mailing address for Shannon T. Licano is Po Box 16906, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon T. Licano |
|---|---|
| Address | Po Box 16906, Phoenix, Arizona |
| Phone Number | 6022791427 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1811018427 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2014-07-09 |
Provider Mailing Address Detail
| Address | Po Box 16906 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850116906 |
| Phone Number | 6022791427 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique identification code assigned to Shannon T. Licano by the Centers for Medicare & Medicaid Services?
The Shannon T. Licano has been issued the NPI (National Provider Identifier) 1811018427. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shannon T. Licano located?
The Shannon T. Licano is located at Po Box 16906, Phoenix, AZ 850116906.
What is the Shannon T. Licano's specialty and taxonomy code?
The Shannon T. Licano's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
When was the Shannon T. Licano's 1811018427 issued?
The Shannon T. Licano's 1811018427 was issued on 2007-04-02.
As of what date were the details pertaining to Shannon T. Licano last refreshed?
The information related to the Shannon T. Licano, including its address, specialty, and other relevant details, was last updated on 2014-07-09.
NPI Number: 1720081763
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