Melissa Shuster Ahern, MS, CCC-SLP, OTR/L
Individual provider Active NPI Speech-Language Pathologist · Jenkintown, PA
NPI 1164595211 · NPPES record last updated Oct 25, 2022
Key facts
- NPI
- 1164595211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL009156 (PA)
- Practice address
- 1515 The Fairway
Jenkintown, PA 19046-1435 - Phone
- (267) 254-1337
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC006915L | PA | MD | Pediatric Occupational Therapist |
| SL009156 | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OC006915L | PA | |
| Speech-Language Pathologist | 235Z00000X | SL009156 | PA | Yes |
Addresses
Primary practice location
1515 The Fairway
Jenkintown, PA 19046-1435
Mailing address
4 Sawtooth LN
Hatboro, PA 19040-2053
Phone (267) 254-1337
Other practice location 1
2990 Holme Ave
Immaculate Mary Home
Philadelphia, PA 19136-1830
Phone (215) 992-1861
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019365350002 | Medicaid | PA |
Other names
- Ms. Melissa P Shuster
Other providers in Jenkintown, PA
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- Ruben Aguilar
- Ahnorah Health, LLC
- Lynda Albert
- Samuel Albert
- Alert Medical Alarms Inc
- Elaine Sara Alexander
All providers in Jenkintown, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.