Provider Demographics
NPI:1649778077
Name:BILLINGS, SHANNON RACHEL (CF-SLP)
Entity Type:Individual
Prefix:MS
First Name:SHANNON
Middle Name:RACHEL
Last Name:BILLINGS
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 CATHEDRAL CV APT 40
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-9131
Mailing Address - Country:US
Mailing Address - Phone:805-415-8483
Mailing Address - Fax:
Practice Address - Street 1:400 CAMARILLO RANCH RD STE 209
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-5903
Practice Address - Country:US
Practice Address - Phone:805-242-8255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist