Shannen Dorothea Utley, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

102409 Issued in TX

Practice address

12345 Jones Rd
Suite 215
Houston, TX 77070-4855

Phone

(832) 663-7541

Fax

(832) 717-2808

NPI assigned

Feb 8, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wonderfully Made Speech and Language, LLC

  • Hearing and Speech Clinic/Center
  • Houston, TX
  • NPI 1255607479
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1053683995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 JONES RD",
            "address_2": "SUITE 215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704855",
            "telephone_number": "832-663-7541",
            "fax_number": "832-717-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 JONES RD",
            "address_2": "SUITE 215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704855",
            "telephone_number": "832-663-7541",
            "fax_number": "832-717-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTLEY",
        "first_name": "SHANNEN",
        "middle_name": "DOROTHEA",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Opal Uthman, M.D.
• Uthumim Corporation
• Joma Uthup, APRN
• Utibe Utin, MD
• Sa'Misty Utley, LCSW
• Jennifer Gwendolyn Utoh, M.D.
• Joanna M. Utoh, FNP
• Utopia Plastic Surgery
• Utopia Plastic Surgery
• Uttam Dasgupta DDS Inc

• Speech-Language Pathologist in Houston, TX
• Providers in Houston, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.