Shannon Nicole Gaylord, MA,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Willows, CA
NPI 1134817802 · NPPES record last updated Apr 28, 2023
Key facts
- NPI
- 1134817802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 12943 (CA)
- Practice address
- 1133 W Sycamore St
Willows, CA 95988-2601 - Phone
- (530) 934-1832
- NPI assigned
- Apr 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12943 | CA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12943 | CA | Yes |
Addresses
Primary practice location
1133 W Sycamore St
Willows, CA 95988-2601
Mailing address
1241 Salem St
Chico, CA 95928-6550
Phone (530) 370-4383
Other providers in Willows, CA
- Gabrielle Flores
- John Forbes
- Cody Frailey
- Hunter Gardner-Thompson
- Jared Daniel Garrison
- Amanpreet Kaur Gill
- Glenn County Joint
- Glenn Emergency Physicians Medical Group, Inc.
- Glenn Medical Center, LLC
- Glenn Medical Center, LLC
All providers in Willows, CA · Speech-Language Pathologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.