Shannon Shirley Hays, M.S. - CCC/SLP

Individual provider Active NPI Speech-Language Pathologist · New Market, MD

NPI 1962701623 · NPPES record last updated Mar 21, 2011

Key facts

NPI
1962701623
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
06207 (MD)
Practice address
164 W Main St
Suite a
New Market, MD 21774-6279
Phone
(301) 606-8278
Fax
(301) 865-8178
NPI assigned
Mar 21, 2011
Sex
Female
Sole proprietor
No

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 Science

State licenses

LicenseStateTypeSpecialty
06207MDMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 06207 MD Yes

Addresses

Primary practice location

164 W Main St
Suite a
New Market, MD 21774-6279

Mailing address

164 W Main St
Suite a
New Market, MD 21774-6279
Phone (301) 606-8278

Other providers in New Market, MD

All providers in New Market, MD · Speech-Language Pathologist in Maryland

Sources for this page

Verify at the official NPI Registry.