Mr. Shannon Gilliam
Mr. Shannon Gilliam is a Speech-Language Pathologist in Valley Village, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
11911 Magnolia Blvd Unit 11Valley Village, CA 91607-4485
Phone: (773) 329-3173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X (CA) |
|---|
Record details
| NPI number | 1750100335 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 9, 2024 |
| Last updated in NPPES | October 9, 2024 |
| Certification date | October 4, 2024 |
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