Shelly E. Hahn, MA,CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL-000963-L Issued in PA

Practice address

626 Haverford Rd
Haverford, PA 19041-1102

Phone

(610) 649-8255

Fax

(610) 649-2924

NPI assigned

Apr 19, 2006

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Main Line Speech Consultants LTDGroup PAC ID 9335547264, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Main Line Speech Consultants, LTD.

  • Speech-Language Pathologist
  • Haverford, PA
  • NPI 1487619235
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1043275365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 HAVERFORD RD",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411102",
            "telephone_number": "610-649-8255",
            "fax_number": "610-649-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 HAVERFORD RD",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411102",
            "telephone_number": "610-649-8255",
            "fax_number": "610-649-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "SHELLY",
        "middle_name": "E.",
        "credential": "MA,CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL000963L",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL-000963-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "758387",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BL",
            "identifier": "0701755000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2996",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven R Growney, MD
• Deborah Jean Gunton, PH.D.
• Joseph Anthony Gwiszcz Jr., MD
• Brianna R Haffner, MA, ATR-BC, LPC
• Rebecca Hahn, MA
• Marlo Hall, M.S. ED.
• Phyllis Eileen Harris, PT
• Shane William Hartie, MDIV
• Danielle Nicole Harvey, MD
• Melissa Gayle Hauptman, OTR

• Speech-Language Pathologist in Haverford, PA
• Providers in Haverford, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.