Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shannon Rene Davis, MED, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1962494336

Mrs. Shannon Rene Davis, MED, CCC-SLP is a Speech-Language Pathologist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2005
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

14785 Old Saint Augustine Rd
Jacksonville, FL 32258-2496
Phone: (904) 292-1808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA14524 (FL)

Record details

NPI number1962494336
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 22, 2005
Last updated in NPPESMay 16, 2016

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