Active NPIIndividual provider

Mrs. Shauna M Dube, MS CCC-SLP

Speech-Language Pathologist, in Medford, Massachusetts

NPI Number1255450896
Practice location
200 Governors Ave, Medford, MA 02155-1644
Fax
781-396-0649
Last updated
July 8, 2007

Shauna Marie Dube is a Speech-Language Pathologist, based in Medford, MA. Shauna Marie Dube practices in Medford, MA and has the professional credentials of MS CCC-SLP. The NPI Number for Shauna Marie Dube is 1255450896 and holds a License No. 6507 (MA). The current practice location address for Shauna Marie Dube is 200 Governors Ave, Medford, MA 02155-1644 and can be reached out via phone at 781-391-5400 and via fax at 781-396-0649.

Provider Profile Details

NPI Number
1255450896
Provider Name
Shauna Marie Dube
Credential
MS CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
200 Governors Ave, Medford, MA 02155-1644
Phone Number
781-391-5400
Fax Number
781-396-0649
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
March 28, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Governors Ave
Medford, MA 02155-1644
Zip
02155-1644
Phone Number
781-391-5400
Fax Number
781-396-0649
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
44 Cortland Ave
Fitchburg, MA 01420-1653
City
Fitchburg
State
MA
Zip
01420-1653
Phone Number
978-342-7180

License Information

License Number (1)
6507
License State (1)
MA
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X · Primary
License Number (2)
Sp1662
License State (2)
ME
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Shauna M Dube, MS CCC-SLP?

The NPI number of Mrs. Shauna M Dube, MS CCC-SLP is 1255450896. It was assigned on March 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Shauna M Dube, MS CCC-SLP?

Mrs. Shauna M Dube, MS CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 6507.

Where does Mrs. Shauna M Dube, MS CCC-SLP practice?

The practice location is 200 Governors Ave, Medford, MA 02155-1644. The office can be reached at 781-391-5400 (phone) or 781-396-0649 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255450896 directly on the NPPES registry website.

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