Provider Demographics
NPI:1396971297
Name:CARRIGER, SHAUNA LEANN (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SHAUNA
Middle Name:LEANN
Last Name:CARRIGER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:LEANN
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,CCC-SLP
Mailing Address - Street 1:2106 S. MAIN ST.
Mailing Address - Street 2:SUITE B6
Mailing Address - City:GROVE
Mailing Address - State:OK
Mailing Address - Zip Code:74344
Mailing Address - Country:US
Mailing Address - Phone:918-964-7025
Mailing Address - Fax:
Practice Address - Street 1:2106 S MAIN ST STE B6
Practice Address - Street 2:
Practice Address - City:GROVE
Practice Address - State:OK
Practice Address - Zip Code:74344-5356
Practice Address - Country:US
Practice Address - Phone:918-964-7025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-05
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist