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Contact Information

SHANNON S COCKRAM, M.S. CCC-SLP
104 RUCKER ST.
STUART, VA24171
 Phone: 276-694-3163
 Fax: 276-694-3170
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for SHANNON S COCKRAM · (Female)

NPI Number 1366931776
Status Active
Credentials M.S. CCC-SLP
Entity Individual
Enumeration date 05/02/2018
Last updated 05/02/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 2203000475
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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