Active NPIIndividual providerSole proprietor

Shane Fitzgerald

Speech-Language Pathologist, in Dedham, Massachusetts

NPI Number1669082657
Practice location
131 Massachusetts Ave, Dedham, MA 02026-7005
Fax
—
Last updated
March 21, 2024

Shane Fitzgerald is a Speech-Language Pathologist, based in Dedham, MA. Shane Fitzgerald practices in Dedham, MA. The NPI Number for Shane Fitzgerald is 1669082657 and holds a License No. SLP78075 (MA). The current practice location address for Shane Fitzgerald is 131 Massachusetts Ave, Dedham, MA 02026-7005 and can be reached out via phone at 781-686-0637.

Provider Profile Details

NPI Number
1669082657
Provider Name
Shane Fitzgerald
Provider Entity Type
Individual
Gender
Male
Address
131 Massachusetts Ave, Dedham, MA 02026-7005
Phone Number
781-686-0637
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 4, 2020
Last Update Date
March 21, 2024
Certification Date
March 21, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
131 Massachusetts Ave
Dedham, MA 02026-7005
City
Dedham
Zip
02026-7005
Phone Number
781-686-0637
Dedham, MA 02026Get directions →

Provider Business Mailing Address Details

Address
223 Jefferson St
Dedham, MA 02026-5007
City
Dedham
State
MA
Zip
02026-5007
Phone Number
781-686-0637

License Information

License Number
SLP78075
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

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 Shane Fitzgerald?

The NPI number of Shane Fitzgerald is 1669082657. It was assigned on August 4, 2020 and is currently active in the NPPES registry.

What is the specialty of Shane Fitzgerald?

Shane Fitzgerald is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number SLP78075.

Where does Shane Fitzgerald practice?

The practice location is 131 Massachusetts Ave, Dedham, MA 02026-7005. The office can be reached at 781-686-0637 (phone).

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 1669082657 directly on the NPPES registry website.

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