Shannon Joan Nelson, MA, CCC-SLP
Speech-Language Pathologist, in West Bloomfield, MI. Individual provider (NPI-1).
NPI number1982252367
StatusActive
Last updated in NPPESNov 1, 2022
Details
- NPI
- 1982252367
- Entity type
- Individual (NPI-1)
- Name
- Shannon Joan Nelson
- Credential
- MA, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2019
- Certification date
- Nov 1, 2022
- Last updated
- Nov 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
6625 Daly RdWest Bloomfield, MI 48322-3410
Phone 248-909-5407 · Fax 248-737-3433
Mailing address
6625 Daly RdWest Bloomfield, MI 48322-3410
Phone 248-909-5407 · Fax 248-737-3433
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All 109 Speech-Language Pathologist providers in West Bloomfield · All 2,642 providers in West Bloomfield
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