SHANER SPEECH PATHOLOGY (NPI# 1396243119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396243119 |
| Entity Type | Organization |
| Organization Name | SHANER SPEECH PATHOLOGY |
| Practice Address |
771 E Southlake Blvd Ste 104 Southlake TX 76092-6354 |
| Practice Telephone | 7143930400 |
| Mailing Telephone | 7143930400 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |
| Authorized Official Name | MRS. AMY D SHANER (OWNER, CLINICAL DIRECTOR) |
| Authorized Official Telephone | 7143930400 |
| Authorized Official Credential | MS, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 114170 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
771 E SOUTHLAKE BLVD STE 104 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978195 | Crystal Paige Huddleston | Chiropractor | 771 E Southlake Blvd Ste 104, Southlake, TX 76092-6354 | 2020-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265955330 | Gail Therese Lindley | Speech-Language Pathologist | 550 Silicon Dr Ste 100, Southlake, TX 76092-7524 | 2017-07-20 |
| 1548678741 | Jeffrey A Marler | Speech-Language Pathologist | 430 N Carroll Ave, Suite 110, Southlake, TX 76092-6452 | 2014-07-31 |
| 1982941761 | Jessica Matocha Hickey | Speech-Language Pathologist | 201 Watermere Dr, Southlake, TX 76092-8137 | 2013-01-14 |
| 1407191489 | Kamika Walsh | Speech-Language Pathologist | 700 E State Highway 114, Southlake, TX 76092 | 2012-12-03 |
| 1932479011 | Amanda Mcgukin | Speech-Language Pathologist | 515 Timber Lake Dr, Southlake, TX 76092-7206 | 2012-01-06 |
| 1376851055 | Brooke V. Simer | Speech-Language Pathologist | 1628 Byron Nelson Pkwy, Southlake, TX 76092-9633 | 2010-09-16 |
| 1609104967 | Heather Dunklin | Speech-Language Pathologist | 251 Watermere Dr, Southlake, TX 76092-8129 | 2009-11-25 |
| 1144412636 | Mary Rice Goodman | Speech-Language Pathologist | 1700 Shady Oaks Dr, Southlake, TX 76092-3518 | 2007-08-17 |
| 1659572188 | Kimberly Wiskow | Speech-Language Pathologist | 855 Davis Blvd, Suite 600, Southlake, TX 76092-8244 | 2007-05-31 |
| 1740493659 | Beatriz Lourido | Speech-Language Pathologist | 831 Longhorn Holw, Southlake, TX 76092-8353 | 2007-05-07 |
| Find all providers in SOUTHLAKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.