Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Medina

Individual provider Speech-Language Pathologist · NPI 1164682209

Shannon Medina is a Speech-Language Pathologist in West Fork, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2008
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Practice location Address checks out

363 McKnight Ave
West Fork, AR 72774-0000
Phone: (479) 839-3035
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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 · Licence SP1338 (AR)

Record details

NPI number1164682209
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 12, 2008
Last updated in NPPESApril 18, 2011

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