Active NPIIndividual provider

Wunderly Shaw, MS, CCC-SLP

Speech-Language Pathologist, in South Berwick, Maine

NPI Number1689980542
Practice location
49 Academy St, South Berwick, ME 03908-1503
Fax
—
Last updated
August 29, 2010

Wunderly Shaw is a Speech-Language Pathologist, based in South Berwick, ME. Wunderly Shaw practices in South Berwick, ME and has the professional credentials of MS, CCC-SLP. The NPI Number for Wunderly Shaw is 1689980542. The current practice location address for Wunderly Shaw is 49 Academy St, South Berwick, ME 03908-1503 and can be reached out via phone at 207-384-4010.

Provider Profile Details

NPI Number
1689980542
Provider Name
Wunderly Shaw
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
49 Academy St, South Berwick, ME 03908-1503
Phone Number
207-384-4010
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
August 29, 2010
Last Update Date
August 29, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Academy St
South Berwick, ME 03908-1503
State
Maine
Zip
03908-1503
Phone Number
207-384-4010
South Berwick, ME 03908Get directions →

Provider Business Mailing Address Details

Address
61 Butler St
South Berwick, ME 03908-1315
City
South Berwick
State
ME
Zip
03908-1315
Phone Number
207-384-2705

License Information

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 Wunderly Shaw, MS, CCC-SLP?

The NPI number of Wunderly Shaw, MS, CCC-SLP is 1689980542. It was assigned on August 29, 2010 and is currently active in the NPPES registry.

What is the specialty of Wunderly Shaw, MS, CCC-SLP?

Wunderly Shaw, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X).

Where does Wunderly Shaw, MS, CCC-SLP practice?

The practice location is 49 Academy St, South Berwick, ME 03908-1503. The office can be reached at 207-384-4010 (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 1689980542 directly on the NPPES registry website.

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