Provider Demographics
NPI:1508994203
Name:KERR, SHANNON LYNNE (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SHANNON
Middle Name:LYNNE
Last Name:KERR
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:ESC OF CENTRAL OHIO
Mailing Address - Street 2:2080 CITYGATE DRIVE
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-3591
Mailing Address - Country:US
Mailing Address - Phone:614-445-3750
Mailing Address - Fax:
Practice Address - Street 1:RIVER SPEECH & EDU SERVICES INC. 1350 OLD FREEPORT RD
Practice Address - Street 2:SUITE 2AR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238
Practice Address - Country:US
Practice Address - Phone:412-963-0463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008749235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist