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

Shannon Marie Mulder, MS-CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1265213508

Shannon Marie Mulder, MS-CCC-SLP is a Speech-Language Pathologist in Grand Haven, Michigan. Licensed in Missouri. Registered with an NPI since 2023.

Licensed in
MO
In the registry since
2023

Practice location Address checks out

13476 Hidden Creek Ct
Grand Haven, MI 49417-8935
Phone: (616) 402-2187
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2023041204 (MO)

Record details

NPI number1265213508
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS-CCC-SLP
Sole proprietorNo
NPI enumeratedOctober 12, 2023
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023

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