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Shannon Nicole Broderick

NPI 1447750351ActiveIndividual· Speech-Language Pathologist· Virginia Beach, VA

Speech-Language Pathologist in Virginia Beach, Virginia, with an NPI issued in February 2018.

Overview

NPI1447750351
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedFeb 16, 2018
Last updated in NPPESJul 10, 2020
Certified by providerJul 10, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other speech-language pathologists in Virginia Beach

All 469 speech-language pathologists in Virginia Beach · All speech-language pathologists in Virginia