Most Relevant Information
Provider Data
| NPI Number: | 1003320961 |
| Provider Name: | SHANNA RENEE VUCINIC |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SP.11533 |
Most Important Dates
| Enumeration Date: | 11/29/2017 |
| Last Updated: | 11/29/2017 |
Provider Practice Location
107 KNOX ST
BRIDGEVILLE
PA
150173017
Practice Location Phone/Fax
| Phone: | 4127155857 |
| Fax: |
Provider Mailing Location
107 KNOX ST
BRIDGEVILLE
PA
150173017
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |