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NPI Code Detail

MEDICARE: SHIRLEY SHAFER SLP

MEDICARE:   SHIRLEY  SHAFER  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 Pathologist008214NY

General Provider Information

NPI Number : 1427025873
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY SHAFER SLP
Provider Business Mailing Address
First Line : PO BOX 2002
Second Line :
City : EAST SYRACUSE
State : NY
Zip : 13057-4502
Country : US
Telephone Number : 315-449-2208
Fax Number : 315-362-5120
Provider Business Practice Location Address
First Line : 1603 COURT ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13208-1834
Country : US
Telephone Number : 315-455-7591
Fax Number : 315-455-1087
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2006
Last Update Date : 07/08/2007

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Directions to “ SHIRLEY SHAFER SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.