National Provider Identifier

Shannon Nichole Fridd, M.S., CCC-SLP, TSHH

Shannon Nichole Fridd, M.S., CCC-SLP, TSHH is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 336-3176.

NPI 1043585599Rochester, NYSpeech-Language Pathologist

Profile Overview

NPI
1043585599
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
March 16, 2012
Last Updated
April 23, 2019

Practice Location

  • 350 Cooper RD.
  • Rochester, NY 14617

Phone: (585) 336-3176

Mailing Address

  • 819 Coventry Drive
  • Webster, NY 14580-8734

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1043585599
Entity Type
Individual
Last Name
Fridd
First Name
Shannon
Middle Name
Nichole
Name Prefix
Mrs.
Credential
M.S., CCC-SLP, TSHH
Mailing Street Address
819 Coventry Drive
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-8734
Mailing Country
US
Mailing Phone
(585) 746-1223
Mailing Fax
(585) 336-3097
Practice Street Address
350 Cooper RD.
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14617
Practice Country
US
Practice Phone
(585) 336-3176
Practice Fax
(585) 336-3072
Enumeration Date
March 16, 2012
Last Updated
April 23, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)