Shannon Stanush, EIS

Developmental Therapist · Lytle, TX

Individual Active NPI

NPI number 1124329933

Practice location

19965 FM 3175
Lytle, TX 78052-3481
Phone
(210) 357-0395
Fax
(830) 709-5493

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NPI record

NPI
1124329933
Entity type
Individual (Type 1)
Enumeration date
November 10, 2010
Last updated
November 10, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X 093738 TX

Mailing address

PO Box 725
Lytle, TX 78052-0725
Phone
(210) 357-0395
Fax
(830) 709-5493

About Shannon Stanush

Shannon Stanush, EIS is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 19965 FM 3175, Lytle, TX 78052-3481. The NPI number 1124329933 was assigned on November 10, 2010 and the record was last updated on November 10, 2010.

Shannon Stanush lists a license in the registry: #093738 (TX) for Developmental Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shannon Stanush, EIS?

The NPI number is 1124329933.

What is the phone number of Shannon Stanush?

The phone number listed for the practice location is (210) 357-0395.

Where is Shannon Stanush located?

19965 FM 3175, Lytle, TX 78052-3481.

What is the taxonomy code for Shannon Stanush?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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