MEDICARE: HANNAH SHAFFER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant	4986	FL
2	235Z00000X	Speech-Language Pathologist	30004485	NC

General Provider Information

NPI Number	:	1962174235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH SHAFFER

Provider Business Mailing Address
First Line	:	5736 RUNNEL WAY
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-6724
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 MCCULLOUGH DR STE 160
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-1311
Country	:	US
Telephone Number	:	980-585-1793
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2021
Last Update Date	:	12/08/2025

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Directions to “ HANNAH SHAFFER ” Practice Location

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