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Shannon Blackstone

NPI 1164732616 · on the registry since 2010

Practice

Address
33 Percy St Apt B
Charleston, SC 29403
Phone
(803) 212-8971
Organisation at this address
Shooting Star Speech Therapy Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina