Shannon McCabe

Individual provider Active NPI Speech-Language Pathologist · Beacon Falls, CT

NPI 1194457416 · NPPES record last updated Jun 27, 2022

Key facts

NPI
1194457416
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
006866 (CT)
Practice address
30 Highland Ave
Beacon Falls, CT 06403-1110
Phone
(203) 729-5355
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
006866CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cheshire Fitness Zone, LLC Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 006866 CT Yes

Addresses

Primary practice location

30 Highland Ave
Beacon Falls, CT 06403-1110

Mailing address

55 Elizabeth LN
Middletown, CT 06457-5570

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address smccabe@region16ct.org

Other providers in Beacon Falls, CT

All providers in Beacon Falls, CT · Speech-Language Pathologist in Connecticut

Sources for this page

Verify at the official NPI Registry.