Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaiden Raishel Shadwick, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1972126183

Jaiden Raishel Shadwick, MA, CCC-SLP is a Speech-Language Pathologist in Gallipolis, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

325 Lariat Dr
Gallipolis, OH 45631-1403
Phone: (740) 645-7467
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 61 State, Gallipolis, OH 45631-1131 — (740) 446-3211

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP.13892 (OH)

Record details

NPI number1972126183
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedMay 21, 2020
Last updated in NPPESMay 21, 2020
Certification dateMay 21, 2020

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