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NPI Code Detail

MEDICARE: SHAMPA PAUL M.S., CCC-SLP

MEDICARE: SHAMPA PAUL M.S., CCC-SLP
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
1235Z00000XSpeech-Language Pathologist026673-01NY

General Provider Information

NPI Number : 1346946746
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAMPA PAUL M.S., CCC-SLP
Provider Business Mailing Address
First Line : 2210 YOUNG AVE
Second Line :
City : BRONX
State : NY
Zip : 10469-5827
Country : US
Telephone Number : 646-701-2366
Fax Number :
Provider Business Practice Location Address
First Line : 2700 EASTCHESTER RD
Second Line :
City : BRONX
State : NY
Zip : 10469-5923
Country : US
Telephone Number : 718-231-5550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2023
Last Update Date : 02/07/2023

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Directions to “ SHAMPA PAUL M.S., CCC-SLP” Practice Location

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