Provider Demographics
NPI:1518753144
Name:BECKHAM, SHANNON CATHERINE (SLPA168)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:CATHERINE
Last Name:BECKHAM
Suffix:
Gender:F
Credentials:SLPA168
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 1/2 N 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:PURCELL
Mailing Address - State:OK
Mailing Address - Zip Code:73080-2010
Mailing Address - Country:US
Mailing Address - Phone:405-442-0099
Mailing Address - Fax:
Practice Address - Street 1:919 1/2 N 9TH AVE
Practice Address - Street 2:
Practice Address - City:PURCELL
Practice Address - State:OK
Practice Address - Zip Code:73080-2010
Practice Address - Country:US
Practice Address - Phone:405-442-0099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKSLPA1682355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant