Lori Shaffer, M.A.,CCC-SLP.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101002229 Issued in MI

Practice address

23936 Michigan Ave
Dearborn, MI 48124-1833

Phone

(313) 278-4601

Fax

(313) 347-1652

NPI assigned

Sep 14, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Dearborn Speech and Sensory Center, Inc

  • Speech-Language Pathologist
  • Plymouth, MI
  • NPI 1710512363
  NPD (past) Authorized official

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

{
    "created_epoch": "1410652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410652800000",
    "number": "1932500501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11875 BEACON HILL DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703603",
            "telephone_number": "313-732-1461",
            "fax_number": "313-347-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23936 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241833",
            "telephone_number": "313-278-4601",
            "fax_number": "313-347-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "LORI",
        "credential": "M.A.,CCC-SLP.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-14",
        "last_updated": "2014-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101002229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Marie Seryak, M.S., M.D.
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• Janina Seychel
• Helayna L Shackelford
• Najat Shafie
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• Kuldeep Bharat Shah, M.D.
• Sarju Shah, M.D
• Shaheen Dentistry

• Speech-Language Pathologist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2014; 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.