MEDICARE: SABRINA SHAH 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
1	235Z00000X	Speech-Language Pathologist	41YS00785700	NJ
2	235Z00000X	Speech-Language Pathologist	SLP000758	DC

General Provider Information

NPI Number	:	1396138335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA SHAH M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	52 ENDEAVOR BLVD
Second Line	:
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520-2965
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3414 SUMMIT CT NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-1620
Country	:	US
Telephone Number	:	609-375-4244
Fax Number	:

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

Provider Enumeration Date	:	03/16/2015
Last Update Date	:	08/22/2024

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Directions to “ SABRINA SHAH M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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