Provider Demographics
NPI:1427458702
Name:GAFFNEY, SHAWNNA LYNNE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SHAWNNA
Middle Name:LYNNE
Last Name:GAFFNEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518B FAIRFAX AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3405
Mailing Address - Country:US
Mailing Address - Phone:505-975-0717
Mailing Address - Fax:
Practice Address - Street 1:2518 FAIRFAX AVE
Practice Address - Street 2:B
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3405
Practice Address - Country:US
Practice Address - Phone:505-975-0717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-24
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5701235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist