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

Individual provider Speech-Language Pathologist · NPI 1306482716

Shannon Nicholls, CCC-SLP is a Speech-Language Pathologist in Bridgewater, New Jersey. Licensed in New Jersey. Registered with an NPI since 2019.

Licensed in
NJ
In the registry since
2019
What do these letters mean?
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

377 Union Ave
Bridgewater, NJ 08807-3108
Phone: (908) 725-2366
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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 41YS01017000 (NJ)

Record details

NPI number1306482716
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedNovember 20, 2019
Last updated in NPPESDecember 23, 2019
Certification dateDecember 23, 2019

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