SHANNON K MCDANIEL MED CCC SLP
NPI 1205989480
Speech-Language Pathologist in Tifton, GA

Active since January 19, 2007
1488 OLD OCILLA RD, TIFTON, GA 31794(229) 386-5200 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shannon K Mcdaniel Med Ccc Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON K MCDANIEL MED CCC SLP (NPI 1205989480) is an individual speech-language pathologist provider in Tifton, Georgia, licensed in Georgia (SLP004230) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1205989480
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSHANNON K MCDANIELCredential: MED CCC SLP
Location Address1488 OLD OCILLA RDTifton, GA 31794-4152
Mailing Address1488 Old Ocilla RdTifton, GA 31794-4152
Sole ProprietorNo
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1205989480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in GA · SLP004230
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

1488 OLD OCILLA RD, Tifton, GA 31794

Other Identifiers 1

Medicaid00828506AGA

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1488 OLD OCILLA RD
TIFTON, GA 31794
Physical Therapist
1488 OLD OCILLA RD
TIFTON, GA 31794
Speech-Language Pathologist
1488 OLD OCILLA RD
TIFTON, GA 31794
Speech-Language Pathologist
1488 OLD OCILLA RD
TIFTON, GA 31794
Speech-Language Pathologist
1488 OLD OCILLA RD
TIFTON, GA 31794
Speech-Language Pathologist
1488 OLD OCILLA RD
TIFTON, GA 31794
Occupational Therapist
1488 OLD OCILLA RD
TIFTON, GA 31794
Physical Therapist
1488 OLD OCILLA RD
TIFTON, GA 31794

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205989480, enumerated as an "individual" on January 19, 2007.

The provider is located at 1488 OLD OCILLA RD TIFTON, GA 31794 and the phone number is (229) 386-5200.

Speech-Language Pathologist with taxonomy code 235Z00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.