Bridges, Shannon

Bridges, Shannon is an individual health care provider with primary practice located at 3400 Anderson Rd Ste C , Greenville SC 29611-7651. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bridges, Shannon can be contacted via phone (864) 295-9890.

Contact Information

Primary practice address
3400 Anderson Rd Ste C Greenville SC 29611-7651
Phone: (864) 295-9890
Fax: (864) 295-9894
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4148 South Carolina

Profile Details

NPI number 1508064155
LBN Legal business name Bridges, Shannon
Credentials MSR, SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Feb 14th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508064155 NPPES
South Carolina MEDICAID SA0881

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