| Shannon Medina, | |
|
363 Mcknight Ave, West Fork, AR 72774-0000 | |
| (479) 839-3035 | |
| Not Available |
| Full Name | Shannon Medina |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 363 Mcknight Ave, West Fork, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164682209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP1338 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Medina, 11607 Club House Pkwy, Farmington, AR 72730-8775 Ph: () - | Shannon Medina, 363 Mcknight Ave, West Fork, AR 72774-0000 Ph: (479) 839-3035 |
Building Blocks Therapy, Inc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 599 N Centennial Ave, West Fork, AR 72774 Phone: 479-871-9820 | |
Annette Goll, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 363 Mcknight Ave., West Fork, AR 72774 Phone: 479-839-3035 | |
Ms. Laura Fawn Purcell, MPT Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 363 Mcknight Ave, West Fork, AR 72774 Phone: 479-751-3900 | |
Krystle Owen, MS CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 599 N Centennial Ave, West Fork, AR 72774 Phone: 479-871-9820 | |
Mrs. Abbie Alice Boll, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 272 School Ave, West Fork, AR 72774 Phone: 479-839-3349 | |
Jessica Goben, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 272 School Ave, West Fork, AR 72774 Phone: 479-967-2322 |