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NPI Code Detail

MEDICARE: SHAUNA WHITE MS CCC-SLP

MEDICARE: SHAUNA WHITE MS 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
1235Z00000XSpeech-Language Pathologist108666TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1108666OTHERTXTEXAS LICENSED SLP

General Provider Information

NPI Number : 1427462134
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAUNA WHITE MS CCC-SLP
Provider Business Mailing Address
First Line : 9240 COUNTY VIEW RD
Second Line :
City : DALLAS
State : TX
Zip : 75249-1124
Country : US
Telephone Number : 972-708-2060
Fax Number :
Provider Business Practice Location Address
First Line : 9240 COUNTY VIEW RD
Second Line :
City : DALLAS
State : TX
Zip : 75249-1124
Country : US
Telephone Number : 972-708-2060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2014
Last Update Date : 06/13/2023

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Directions to “ SHAUNA WHITE MS CCC-SLP” Practice Location

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