Shannon Skidmore, is a
Speech-language Pathologist based in Terryville, Connecticut. Shannon Skidmore is licensed to practice in Connecticut (license number 5570) and her current practice location is
6 Knollwood Ln, Terryville, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 877-3219.
NPI number for Shannon Skidmore is 1992679567 and her current mailing address is 6 Knollwood Ln, Terryville, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992679567.
Healthcare Provider's Profile
| Full Name | Shannon Skidmore |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 6 Knollwood Ln, Terryville, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992679567
- Provider Enumeration Date: 10/06/2025
- Last Update Date: 10/06/2025
Medical Identifiers
Medical identifiers for Shannon Skidmore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992679567 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 5570 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Skidmore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shannon Skidmore, 6 Knollwood Ln, Terryville, CT 06786-6710 Ph: (860) 877-3219 | Shannon Skidmore, 6 Knollwood Ln, Terryville, CT 06786-6710 Ph: (860) 877-3219 |
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