Most Relevant Information
Provider Data
| NPI Number: | 1003009515 |
| Provider Name: | SHANNA BRIDGES |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 7227 |
Most Important Dates
| Enumeration Date: | 08/20/2007 |
| Last Updated: | 08/20/2007 |
Provider Practice Location
19 TABER ST
NEW BEDFORD
MA
027402235
Practice Location Phone/Fax
| Phone: | 5089970791 |
| Fax: |
Provider Mailing Location
20325 E 33RD PL S
BROKEN ARROW
OK
740145153
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |