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Contact Information

SHANNON L NELSON, CCC-SLP
1441 METROPOLIS AVENUE
FORT MYERS, FL33912
 Phone: 239-561-2778
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for SHANNON L NELSON · (Female)

NPI Number 1346570983
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 01/04/2010
Last updated 04/16/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # SA6198
  • VA License # 2202012368
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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