Shelly-Ann Monique D'Cunha

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP013148 Issued in GA

Practice address

10917 Highway 92 Ste 130&140
Woodstock, GA 30188-6329

Phone

(678) 447-1617

Fax

(678) 735-7505

NPI assigned

Jul 9, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bridge the Gap Therapy

  • Speech-Language Pathologist
  • Woodstock, GA
  • NPI 1699345470
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1104663160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10917 HIGHWAY 92 STE 130&140",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886329",
            "telephone_number": "678-447-1617",
            "fax_number": "678-735-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10917 HIGHWAY 92 STE 130&140",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886329",
            "telephone_number": "678-447-1617",
            "fax_number": "678-735-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'CUNHA",
        "first_name": "SHELLY-ANN",
        "middle_name": "MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP013148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tora Annette Cwieka
• Cynthia Dorer, Inc.
• Czerwinski Health and Wellness LLC
• Jacek Czerwinski, DC
• D Thad Baird D M D P C
• Osborne D'Souza, MD
• Anchita S Dalal, OD
• Neville Kersi Dalal, O.D.
• Montakia Princess Dance, LAPC
• Andrew Scott Daniel, PMHNP

• Speech-Language Pathologist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.