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NPI Code Detail

MEDICARE: MRS. SHANNON LEIGH BARBER MA, CCC-SLP

MEDICARE: MRS. SHANNON LEIGH BARBER MA, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
2235Z00000XSpeech-Language PathologistSA 8647FL
3222Q00000XDevelopmental Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700186160
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHANNON LEIGH BARBER MA, CCC-SLP
Provider Business Mailing Address
First Line : 13240 BRISTOL PARK WAY
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-7800
Country : US
Telephone Number : 239-243-1000
Fax Number :
Provider Business Practice Location Address
First Line : 12220 TOWNE LAKE DR STE 1
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-8021
Country : US
Telephone Number : 239-433-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2010
Last Update Date : 11/04/2025

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