Provider Demographics
NPI:1912324732
Name:MANY, SHENANDOAH OBRIEN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHENANDOAH
Middle Name:OBRIEN
Last Name:MANY
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 1:69 BEAR CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-1603
Mailing Address - Country:US
Mailing Address - Phone:205-886-2650
Mailing Address - Fax:
Practice Address - Street 1:104 HOLCOMBE COVE RD
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-9452
Practice Address - Country:US
Practice Address - Phone:828-667-9851
Practice Address - Fax:828-667-9858
Is Sole Proprietor?:No
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9332235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist