Individual
JENNIFER SHATTUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
1 HYDE PARK CIR, BLUFFTON, SC 29910-6145
(843) 368-0165
Mailing address
1 HYDE PARK CIR, BLUFFTON, SC 29910-6145
(843) 368-0165
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7242
SC
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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