CASIE JILL SHANNON (NPI# 1932665213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932665213 |
| Entity Type | Individual |
| Full Name | CASIE JILL SHANNON |
| Practice Address |
3101 S Gulley Rd Ste F Dearborn MI 48124-4406 |
| Practice Telephone | 7344072500 |
| Practice Fax Number | 3137928962 |
| Mailing Telephone | 7344072500 |
| Mailing Fax Number | 3137928962 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7101006110 | MI | Speech, Language and Hearing Service Providers |
| Street Address |
3101 S GULLEY RD STE F |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700018447 | Joi Mitchell | Speech-Language Pathologist | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2009-08-13 |
| 1942807490 | Baileigh Hawn | Registered Nurse | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2020-10-07 |
| 1083240667 | Taylor Pauline Talbot | Occupational Therapist | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2020-03-16 |
| 1184250771 | Elizabeth Bonham | Social Worker | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2020-03-16 |
| 1699300244 | Zachary A Zitnik | Occupational Therapist | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2020-03-04 |
| 1861026601 | Anna R Benson | Speech-Language Pathologist | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2020-03-02 |
| 1437782703 | Veronica B Bennett | Speech-Language Pathologist | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2020-02-14 |
| 1407495427 | Alexa K Noyes | Speech-Language Pathologist | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2019-12-23 |
| 1295374213 | Morgan N Kopietz | Speech-Language Pathologist | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2019-12-23 |
| 1235775594 | Alexandra Nicole Hartley | Speech-Language Pathologist | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2019-11-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| 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 |
|---|---|---|---|---|
| 1386258853 | Kristen Ruth Newman | Speech-Language Pathologist | 1 Parklane Blvd Ste 200, Dearborn, MI 48126-4221 | 2020-09-02 |
| 1194339903 | Kelli Marie Parker | Speech-Language Pathologist | 15001 Michigan Ave Ste 100, Dearborn, MI 48126-6600 | 2020-08-31 |
| 1720614209 | Meira Abidov | Speech-Language Pathologist | 5500 Auto Club Dr Ste 235, Dearborn, MI 48126-2779 | 2020-03-17 |
| 1669944450 | Breanne Barry | Speech-Language Pathologist | 904 Drexel St, Dearborn, MI 48128-1641 | 2018-12-18 |
| 1114414752 | Kamilla Schulte | Speech-Language Pathologist | 3101 S Gulley Rd Ste G, Dearborn, MI 48124-4406 | 2018-04-19 |
| 1699292623 | Rebekka Jean Dicks | Speech-Language Pathologist | 2848 Parker St, Dearborn, MI 48124-3397 | 2017-08-30 |
| 1245692383 | Laura Beth Begley | Speech-Language Pathologist | 3512 Mckinley St, Dearborn, MI 48124-3616 | 2016-03-28 |
| 1346611217 | Alandra Szandzik | Speech-Language Pathologist | 1360 Porter St Lowr Level, Dearborn, MI 48124-2890 | 2015-10-16 |
| 1891190260 | Amanda Semetko | Speech-Language Pathologist | 3101 S. Gulley Road, Ste F-g, Dearborn, MI 48124 | 2014-10-28 |
| 1033524103 | Kathryn Kaufmann | Speech-Language Pathologist | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-06-26 |
| Find all providers in DEARBORN | ||||
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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.