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NPI Code Detail

MEDICARE: SHANNON ROSS M.S., CCC-SLP

MEDICARE: SHANNON ROSS M.S., 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 Pathologist

General Provider Information

NPI Number : 1942906912
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON ROSS M.S., CCC-SLP
Provider Business Mailing Address
First Line : 3488 JEFFCO BLVD STE 102
Second Line :
City : ARNOLD
State : MO
Zip : 63010-6015
Country : US
Telephone Number : 636-464-5439
Fax Number : 636-464-5438
Provider Business Practice Location Address
First Line : 3488 JEFFCO BLVD STE 102
Second Line :
City : ARNOLD
State : MO
Zip : 63010-6015
Country : US
Telephone Number : 636-464-5439
Fax Number : 636-464-5438
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2023
Last Update Date : 04/06/2026

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Directions to “ SHANNON ROSS M.S., CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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