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

Individual provider Speech-Language Pathologist · NPI 1588914683

Shannon Pravetz is a Speech-Language Pathologist in Hamburg, New Jersey. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

228 Wheatsworth Rd
Hamburg, NJ 07419-2620
Phone: (845) 325-0124
Fax: (973) 827-8421
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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 0135191 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 41YS00459700 (NJ)

Record details

NPI number1588914683
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 16, 2012
Last updated in NPPESSeptember 16, 2012

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