Provider Demographics
NPI:1043980329
Name:CATHEY, SHANNON SIOBHAN (MS, CF-SLP)
Entity Type:Individual
Prefix:MS
First Name:SHANNON
Middle Name:SIOBHAN
Last Name:CATHEY
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MAINSAIL DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:SC
Mailing Address - Zip Code:29676-4218
Mailing Address - Country:US
Mailing Address - Phone:513-518-3290
Mailing Address - Fax:
Practice Address - Street 1:206 HAMILTON DR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:SC
Practice Address - Zip Code:29693-1599
Practice Address - Country:US
Practice Address - Phone:864-886-4520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7713235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist