Provider Demographics
NPI:1386487940
Name:ASKEW, SHANNON (HIS)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:
Last Name:ASKEW
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4340 GOLDEN CENTER DR STE E
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-6258
Mailing Address - Country:US
Mailing Address - Phone:530-622-2020
Mailing Address - Fax:530-622-2212
Practice Address - Street 1:4340 GOLDEN CENTER DR STE E
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-6258
Practice Address - Country:US
Practice Address - Phone:530-622-2020
Practice Address - Fax:530-622-2212
Is Sole Proprietor?:No
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHAD8988237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist