Shaner Speech Pathology

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

114170 Issued in TX

Legal business name

SHANER SPEECH PATHOLOGY

Practice address

771 E Southlake Blvd Ste 104
Southlake, TX 76092-6354

Phone

(714) 393-0400

NPI assigned

Jan 26, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Amy D Shaner, MS, CCC-SLP

Title

Owner, Clinical Director

Phone

(714) 393-0400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1396243119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 E SOUTHLAKE BLVD STE 104",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926354",
            "telephone_number": "714-393-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 E SOUTHLAKE BLVD STE 104",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926354",
            "telephone_number": "714-393-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANER SPEECH PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "SHANER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "714-393-0400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gunjankumar Shah, PT
• Vishal Shah, M.D.
• Lori Ann Shahidi, DO
• Alireza Allen Shakouri, MD
• Karolina Shander, PHD
• Anita Priya Shankar, M.D.
• Nathan Shaw
• Kennedy Shawber, FNP
• Leonard Cloy Shelby, LPC
• Megan McMurry Shelton, LPC-S

• Speech-Language Pathologist in Southlake, TX
• Providers in Southlake, 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 Jan 26, 2018; 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.