SHANNON D BRAGG MA CCC-SLP
NPI 1063063592
Speech-Language Pathologist in Woodstock, GA
- Organization
- Speech-Language Pathologist
About SHANNON D BRAGG MA CCC-SLP
This page provides the complete NPI Profile along with additional information for Shannon D Bragg Ma Ccc-slp, a provider established in Woodstock, Georgia operating as a Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1063063592 assigned on September 2019. The practitioner's primary taxonomy code is 235Z00000X. The provider is registered as an organization and their NPI record was last updated May 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Shannon D. Bragg (Speech Language Pathologist)
- NPI
- 1063063592 Verify this NPI
- Provider Name
- SHANNON D BRAGG MA CCC-SLP
- Entity Type
- Organization
- Location Address
- 1551 PINE CREEK WAY WOODSTOCK, GA 30188
- Location Phone
- (770) 871-6338
- Mailing Address
- 1003 WEATHERSTONE PKWY STE 340 WOODSTOCK, GA 30188
- Mailing Phone
- (770) 871-6338
- Mailing Fax
- (470) 394-4844
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-25-2019
- Last Update Date
- 05-26-2026
- Code Navigator
Location Map
Secondary Locations
- 1003 Weatherstone Pkwy Ste 340
Woodstock, GA 30188
(770) 871-6338
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- Taxonomy Description
- The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063063592, enumerated as an "organization" on September 25, 2019.
The provider is located at 1551 PINE CREEK WAY WOODSTOCK, GA 30188 and the phone number is (770) 871-6338.
Speech-Language Pathologist with taxonomy code 235Z00000X.
