Shannon Daniel Tillman in Greensboro - Speech-language Pathologist
Shannon Daniel Tillman - NPI 1134385123
Shannon Daniel Tillman is a Speech-language Pathologist in Greensboro, North Carolina. Shannon Daniel Tillman practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Shannon Daniel Tillman is 1134385123. The last update date is 2022-04-07.
Shannon Daniel Tillman's current location address is 2500 N Church St, Greensboro, North Carolina. You can contact this provider via phone number 3363752240 and fax number 3363752214. The mailing address for Shannon Daniel Tillman is 2500 N Church St, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Daniel Tillman |
|---|---|
| Address | 2500 N Church St, Greensboro, North Carolina |
| Phone Number | 3363752240 |
| Fax Number | 3363752214 |
| Sole Proprietor | N |
| Credentials | SLP |
NPI Number Detail
| NPI Number | 1134385123 |
|---|---|
| Provider Enumeration Date | 2008-07-30 |
| Last Updated Date | 2022-04-07 |
Provider Mailing Address Detail
| Address | 2500 N Church St |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 274054314 |
| Phone Number | 3363752240 |
| Fax Number | 3363752214 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 4468 |
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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 provider identifier assigned to Shannon Daniel Tillman?
The Shannon Daniel Tillman has been issued the NPI (National Provider Identifier) 1134385123 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Shannon Daniel Tillman?
The Shannon Daniel Tillman is situated at 2500 N Church St, in the city of Greensboro, state of NC, with the zip code 274054314.
What is Shannon Daniel Tillman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shannon Daniel Tillman is Speech-language Pathologist, and the corresponding taxonomy classification code for this specialized field is 235Z00000X.
When did the Shannon Daniel Tillman receive its 1134385123?
The Shannon Daniel Tillman was issued its 1134385123 on 2008-07-30, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Shannon Daniel Tillman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shannon Daniel Tillman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-04-07.