Mrs Shannon Moureen Booth, MS, CCC-SLP is a
Speech-language Pathologist based in Eureka, Missouri. Mrs Shannon Moureen Booth is licensed to practice in Missouri (license number 2002023138) and her current practice location is
90 Elk Run Dr, Eureka, Missouri. She can be reached at her office (for appointments etc.) via phone at
(636) 938-1056.
NPI number for Mrs Shannon Moureen Booth is 1730216110 and her current mailing address is 1809 Clarkson Rd, Chesterfield, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730216110.
Healthcare Provider's Profile
Full Name | Mrs Shannon Moureen Booth |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 90 Elk Run Dr, Eureka, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730216110
- Provider Enumeration Date: 02/27/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Shannon Moureen Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730216110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 2002023138 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shannon Moureen Booth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Shannon Moureen Booth, MS, CCC-SLP 1809 Clarkson Rd, Chesterfield, MO 63017-5065 Ph: (636) 532-3211 | Mrs Shannon Moureen Booth, MS, CCC-SLP 90 Elk Run Dr, Eureka, MO 63025-1210 Ph: (636) 938-1056 |
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