| Mrs Shannon Marie Tyler, MS CCC-SLP | |
|
960 Durham Way, Stockbridge, GA 30281-7950 | |
| (404) 395-4578 | |
| (404) 920-3396 |
| Full Name | Mrs Shannon Marie Tyler |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 960 Durham Way, Stockbridge, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710979281 | NPI | - | NPPES |
| 000891943G | Medicaid | GA | |
| 000891943H | Medicaid | GA | |
| 000891943E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP004924 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shannon Marie Tyler, MS CCC-SLP 960 Durham Way, Stockbridge, GA 30281-7950 Ph: (404) 395-4578 | Mrs Shannon Marie Tyler, MS CCC-SLP 960 Durham Way, Stockbridge, GA 30281-7950 Ph: (404) 395-4578 |
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