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NPI Code Detail

MEDICARE: SHANNON BRIDGES

MEDICARE: SHANNON BRIDGES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist22007472AIN

General Provider Information

NPI Number : 1497607782
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON BRIDGES
Provider Business Mailing Address
First Line : 302 E LOUISIANA ST APT 407
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46204-3806
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2001 W 86TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1902
Country : US
Telephone Number : 317-338-2345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ SHANNON BRIDGES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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