Shelby Rohan, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

COND.2015169-SP Issued in OH

Practice address

299 Edwards St
Easter Seals of Mahoning Trumbull & Columbiana
Youngstown, OH 44502-1504

Phone

(330) 743-1168

Fax

(330) 743-1616

NPI assigned

Jun 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1629458039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 ANGILINE DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126568",
            "telephone_number": "330-743-1168",
            "fax_number": "330-743-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 EDWARDS ST",
            "address_2": "EASTER SEALS OF MAHONING TRUMBULL & COLUMBIANA",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021504",
            "telephone_number": "330-743-1168",
            "fax_number": "330-743-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHAN",
        "first_name": "SHELBY",
        "name_prefix": "Miss",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.2015169-SP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078348",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.