Provider Demographics
NPI:1689879033
Name:GRIFFITHS, SHANNON HELEN (CCC, SLP-L)
Entity Type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:HELEN
Last Name:GRIFFITHS
Suffix:
Gender:F
Credentials:CCC, SLP-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 N BISSELL ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-5013
Mailing Address - Country:US
Mailing Address - Phone:773-727-2516
Mailing Address - Fax:
Practice Address - Street 1:1860 N BISSELL ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-5013
Practice Address - Country:US
Practice Address - Phone:773-727-2516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist