Individual
SHANNON BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSR, SLP
Contact information
Practice address
3400 ANDERSON RD STE C, GREENVILLE, SC 29611-7651
(864) 295-9890
(864) 295-9894
Mailing address
3400 ANDERSON RD STE C, GREENVILLE, SC 29611-7651
(864) 295-9890
(864) 295-9894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4148
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0881
—
SC
Enumeration date
07/05/2007
Last updated
02/14/2011
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