| Shannon Hulliberger, | |
|
1380 E Sherman Blvd, Muskegon, MI 49444-1814 | |
| (262) 309-8991 | |
| Not Available |
| Full Name | Shannon Hulliberger |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1380 E Sherman Blvd, Muskegon, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780359539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7152000135 (Michigan) | Primary |
| Provider Name | The Shoreline Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942689708 PECOS PAC ID: 5294030938 Enrollment ID: O20160218000349 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Hulliberger, 1848 Preston Ct Nw Apt B95, Grand Rapids, MI 49504-2774 Ph: (262) 309-8991 | Shannon Hulliberger, 1380 E Sherman Blvd, Muskegon, MI 49444-1814 Ph: (262) 309-8991 |
Gwendolyn Rene Horning, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-1111 Fax: 231-724-4188 | |
Julia Tans, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1910 E Apple Ave Ste H, Muskegon, MI 49442 Phone: 231-333-9148 | |
Mrs. Lea Dawn Norbotten, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1080 E Sternberg Rd, Muskegon, MI 49444 Phone: 231-799-2200 Fax: 231-799-2201 | |
Swan Marie Reddy, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-1111 Fax: 231-724-4188 | |
Michelle Clockman, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 695 Mitzi St, Muskegon, MI 49445 Phone: 231-744-1641 | |
Amy D Ballot, MA,CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 635 W Summit Ave, Muskegon, MI 49441 Phone: 888-488-9030 | |
Ms. Kelly Rimbey, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-1111 Fax: 231-724-1300 |