Shannon Deer, SLP
Individual provider Active NPI Speech-Language Pathologist · Coyle, OK
NPI 1871997254 · NPPES record last updated Oct 14, 2014
Key facts
- NPI
- 1871997254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3653 (OK)
- Practice address
- 700 S Cottingham Ave
Coyle, OK 73027-9465 - Phone
- (405) 466-2242
- NPI assigned
- Oct 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3653 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coyle School District No I-14 | Past | Accepting new patients | |
| Coyle School | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3653 | OK | Yes |
Addresses
Primary practice location
700 S Cottingham Ave
Coyle, OK 73027-9465
Mailing address
700 S Cottingham Ave
Coyle, OK 73027-9465
Phone (405) 466-2242
Other providers in Coyle, OK
- Coyle School
- Coyle School District No I-14
- Gevon Finklea
- Michael Sean Fouquet
- Yasmin Michelle Jackson
- Quinton S Morgan
- Cathy Morton
All providers in Coyle, OK · Speech-Language Pathologist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2014. 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.