Active NPIIndividual providerSole proprietor

Shannon Brooke, MS, CCC-SLP

Speech-Language Pathologist, in Guilford, Connecticut

NPI Number1609943224
Practice location
42 Glenwood Dr, Guilford, CT 06437-2234
Fax
—
Last updated
August 20, 2014

Shannon Brooke is a Speech-Language Pathologist, based in Guilford, CT. Shannon Brooke practices in Guilford, CT and has the professional credentials of MS, CCC-SLP. The NPI Number for Shannon Brooke is 1609943224 and holds a License No. 146.008210 (IL). The current practice location address for Shannon Brooke is 42 Glenwood Dr, Guilford, CT 06437-2234 and can be reached out via phone at 203-605-5759.

Provider Profile Details

NPI Number
1609943224
Provider Name
Shannon Brooke
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
42 Glenwood Dr, Guilford, CT 06437-2234
Phone Number
203-605-5759
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 29, 2006
Last Update Date
August 20, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
42 Glenwood Dr
Guilford, CT 06437-2234
Zip
06437-2234
Phone Number
203-605-5759
Guilford, CT 06437Get directions →

Provider Business Mailing Address Details

Address
42 Glenwood Dr
Guilford, CT 06437-2234
City
Guilford
State
CT
Zip
06437-2234
Phone Number
203-605-5759

License Information

License Number (1)
146.008210
License State (1)
IL
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
004769
License State (2)
CT
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shannon Brooke, MS, CCC-SLP?

The NPI number of Shannon Brooke, MS, CCC-SLP is 1609943224. It was assigned on November 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Shannon Brooke, MS, CCC-SLP?

Shannon Brooke, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in IL under license number 146.008210.

Where does Shannon Brooke, MS, CCC-SLP practice?

The practice location is 42 Glenwood Dr, Guilford, CT 06437-2234. The office can be reached at 203-605-5759 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609943224 directly on the NPPES registry website.

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