Shawna Marie Resendes, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Halifax, MA
NPI 1891979365 · NPPES record last updated Mar 22, 2022
Key facts
- NPI
- 1891979365
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7208 (MA)
- Practice address
- 114 Brandeis Cir
Halifax, MA 02338-1035 - Phone
- (508) 245-7763
- NPI assigned
- Dec 19, 2007
- 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)
- Yes
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7208 | MA | Yes |
Addresses
Primary practice location
114 Brandeis Cir
Halifax, MA 02338-1035
Mailing address
114 Brandeis Cir
Halifax, MA 02338-1035
Phone (508) 245-7763
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All providers in Halifax, MA · Speech-Language Pathologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 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.