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

Individual provider Speech-Language Pathologist · NPI 1750996401

Shelby Bourgeois, CCC-SLP is a Speech-Language Pathologist in Germantown, Tennessee. Licensed in Tennessee. Registered with an NPI since 2020.

Licensed in
TN
In the registry since
2020
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

3180 Professional Plz Ste 101
Germantown, TN 38138-1534
Phone: (228) 313-5514
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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 7203 (TN)

Record details

NPI number1750996401
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 10, 2020
Last updated in NPPESNovember 8, 2021
Certification dateOctober 27, 2021

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