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

Individual provider Speech-Language Pathologist · NPI 1316515752

Shannon Nicole Jacquez-Jaramillo, CCC-SLP is a Speech-Language Pathologist in Tustin, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
2
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

624 Ambrose Ln
Tustin, CA 92780-4443
Phone: (949) 683-8525
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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 33609 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 15506 (CA)

Record details

NPI number1316515752
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJune 13, 2021
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023

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