MEDICARE: SHAWNEE MICHELLE RYAN CF-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
1	235Z00000X	Speech-Language Pathologist		AR

General Provider Information

NPI Number	:	1285567149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWNEE MICHELLE RYAN CF-SLP

Provider Business Mailing Address
First Line	:	1059 SKYLINE DR
Second Line	:
City	:	ALEXANDER
State	:	AR
Zip	:	72002-1749
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11801 FAIRVIEW RD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72212-2406
Country	:	US
Telephone Number	:	502-227-3600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ SHAWNEE MICHELLE RYAN CF-SLP” Practice Location

Language	Start Address	Practice Location

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