Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLIN SHANAHAN FAGAN, CCC-SLP
Active Sole ProprietorKAITLIN SHANAHAN FAGAN, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1437755006 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1437755006
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2020 (5.6812477469774 yrs)
- Last Updated
- Dec 9, 2020
- Licenses
-
77218-SP-SL (MA)SL015152 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
768 N TANEY STPHILADELPHIA, PA, 191302418Browse PA providers · Browse ZIP 19130
- Phone
- 6106757734
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
Other Speech, Language and Hearing Specialist Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| MS. JILL MAXINE FELDBAUM | MA-CCC,SP/L | 1376511816 |
| MISS JULIA ELIZABETH HOWARD | MS, CCC-SLP | 1174636294 |
| MR. DONALD EDWARD RICHARDSON | MA, CCC-SLP | 1518076694 |
| MS. NANCY E GISONDI | — | 1265505382 |
| BARBARA COAXUM | — | 1083746440 |
| MR. ERIC J SMITH | SPEECH THERAPIST | 1639202823 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.