Shannon Nicholls, CCC-SLP
NPI #1306482716 in Bridgewater, New Jersey
Provider Information
- NPI Number
- 1306482716
- Entity Type
- Individual
- Name
- Shannon Nicholls, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Nov 20, 2019
- Last Updated
- Dec 23, 2019
Practice Location
- Address
- 377 UNION AVE
- City
- Bridgewater
- State
- New Jersey
- ZIP Code
- 08807-3108
- Phone
- (908) 725-2366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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