| Kelley A Shaw, MS, CCC-SLP | |
|
11 Newburg Ave, Catonsville, MD 21228-5108 | |
| (410) 598-0703 | |
| Not Available |
| Full Name | Kelley A Shaw |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 11 Newburg Ave, Catonsville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780705848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 04070 (Maryland) | Primary |
| Provider Name | State Of Maryland - University Of Maryland College Park |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871609545 PECOS PAC ID: 7416859327 Enrollment ID: O20081008000739 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley A Shaw, MS, CCC-SLP 404 Locust Dr, Catonsville, MD 21228-5132 Ph: (410) 598-0703 | Kelley A Shaw, MS, CCC-SLP 11 Newburg Ave, Catonsville, MD 21228-5108 Ph: (410) 598-0703 |
Mrs. Rachel Gordon, CFY Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16 Fusting Ave, Catonsville, MD 21228 Phone: 410-747-1800 | |
Mrs. Patricia Ann Kurek, CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18 Delrey Ave, Catonsville, MD 21228 Phone: 410-744-3151 Fax: 410-744-8467 | |
Elyssa Leigh Burk, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6000 Edmondson Ave, Catonsville, MD 21228 Phone: 443-690-2820 | |
Jillian Ferrara, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 715 Maiden Choice Ln, Catonsville, MD 21228 Phone: 410-737-8869 | |
Taylor Westhoff, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13 Kenwood Ave, Catonsville, MD 21228 Phone: 443-655-5544 | |
Christina A Johanson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2011 Old Frederick Rd, Catonsville, MD 21228 Phone: 410-804-2568 | |
Yittel Bracha Novice, MCD CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 711 Academy Rd, Catonsville, MD 21228 Phone: 410-788-3300 |