Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shannon Smith Cockram, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1366931776

Mrs. Shannon Smith Cockram, MSCCC-SLP is a Speech-Language Pathologist in Stuart, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2018
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Practice location Address checks out

104 Rucker St
Stuart, VA 24171
Phone: (276) 694-3163
Fax: (276) 694-3170
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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 2203000475 (VA)

Record details

NPI number1366931776
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedMay 2, 2018
Last updated in NPPESMay 2, 2018

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