Shauna Rockwell, CCC

Individual provider Active NPI Speech-Language Pathologist · Schoharie, NY

NPI 1669323580 · NPPES record last updated Mar 23, 2026

Key facts

NPI
1669323580
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
036507 (NY)
Practice address
136 Academy Dr
Schoharie, NY 12157-3210
Phone
(615) 454-0553
NPI assigned
Feb 6, 2026
Sex
Female
Sole proprietor
No

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
036507NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 036507 NY Yes

Addresses

Primary practice location

136 Academy Dr
Schoharie, NY 12157-3210

Mailing address

136 Academy Dr
Schoharie, NY 12157-3210

Other providers in Schoharie, NY

All providers in Schoharie, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.