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Shannon Gail Stark, MACCC/SLP,NP-C
Family Nurse Practitioner in Sidney, New York
NPI 1003129438

Shannon Gail Stark is a Family Nurse Practitioner based in Binghamton, NY and is specialized in Family. Shannon Gail Stark practices in Sidney, NY and has the professional credentials of MACCC/SLP,NP-C. The NPI Number for Shannon Gail Stark is 1003129438 and holds a License No. 0106541 (New York).

The current practice location address for Shannon Gail Stark is 39 Pearl St W, Sidney, NY and can be reached out via phone at 607-561-2021.

Location: 39 Pearl St W, Sidney, NY, 13904-2513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003129438
Provider Name
Shannon Gail Stark
Credential
MACCC/SLP,NP-C
Provider Entity Type
Individual
Gender
Female
Address
39 Pearl St W, Sidney, NY, 13904-2513
Phone Number
607-561-2021
Fax Number
Provider Enumeration Date
07/14/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
39 Pearl St W
City
Sidney
State
New York
Zip
13838
Phone Number
607-561-2021
Fax Number
person
Provider Business Mailing Address Details
Address
39 Pearl St W
City
Sidney
State
New York
Zip
13838
Phone Number
607-561-2021
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
343815 (New York)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0106541 (New York)
Definition
Definition to come...
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