Provider Demographics
NPI:1699977520
Name:AUSTIN, SHANNON L (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:SHANNON
Middle Name:L
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 E NORTHFIELD DR STE 600
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-2435
Mailing Address - Country:US
Mailing Address - Phone:317-932-0099
Mailing Address - Fax:317-933-1172
Practice Address - Street 1:480 E NORTHFIELD DR STE 600
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-2435
Practice Address - Country:US
Practice Address - Phone:173-932-0099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002336A231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter