Individual
JENNIFER SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
996 EASTWIND AVE, TOMS RIVER, NJ 08753-7927
(732) 703-1539
Mailing address
996 EASTWIND AVE, TOMS RIVER, NJ 08753-7927
(732) 703-1539
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06720
MD
Other
Enumeration date
01/25/2012
Last updated
11/20/2019
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