Kanessia Shepard, MA, CCC-SLP | |
9716 Lake Pointe Ct Apt 101, Upper Marlboro, MD 20774-4714 | |
(240) 788-7089 | |
(240) 788-7089 |
Full Name | Kanessia Shepard |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 9716 Lake Pointe Ct Apt 101, Upper Marlboro, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992781868 | NPI | - | NPPES |
141EN | Other | NC | NC BCBS |
7412441 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 05330 (Maryland) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kanessia Shepard, MA, CCC-SLP 9716 Lake Pointe Ct Apt 101, Upper Marlboro, MD 20774-4714 Ph: (240) 788-7089 | Kanessia Shepard, MA, CCC-SLP 9716 Lake Pointe Ct Apt 101, Upper Marlboro, MD 20774-4714 Ph: (240) 788-7089 |
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