Shannon M Keyes, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Lacona, NY
NPI 1992958276 · NPPES record last updated May 1, 2012
Key facts
- NPI
- 1992958276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 016192-1 (NY)
- Practice address
- 7018 County Route 17
Lacona, NY 13083-4107 - Phone
- (315) 387-6395
- NPI assigned
- Oct 30, 2008
- 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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016192-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 016192-1 | NY | Yes |
Addresses
Primary practice location
7018 County Route 17
Lacona, NY 13083-4107
Mailing address
7018 County Route 17
Lacona, NY 13083-4107
Phone (315) 387-6395
Other providers in Lacona, NY
- Barbara Jean Alton
- Shelly L Austin
- Abigail Ann Crast
- Heather Emanuel
- Rachel Anne Gregg
- Kelly Angel Ladd
- Danielle D Martin
- Courtney Jae Michael
- Neysa Anne Christine Price
- Esther Lillian Winninger
All providers in Lacona, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2012. 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.