MEDICARE: SHEA'S SPEECH THERAPY PLLC

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

General Provider Information

NPI Number	:	1598692634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHEA'S SPEECH THERAPY PLLC

Provider Business Mailing Address
First Line	:	7039 SAUVAGE LN
Second Line	:
City	:	GAINESVILLE
State	:	VA
Zip	:	20155-1674
Country	:	US
Telephone Number	:	571-208-7607
Fax Number	:

Provider Business Practice Location Address
First Line	:	7039 SAUVAGE LN
Second Line	:
City	:	GAINESVILLE
State	:	VA
Zip	:	20155-1674
Country	:	US
Telephone Number	:	571-208-7607
Fax Number	:

Authorized Official
Title or Position	:	SLP
Name	:	MADELINE SHEA MCGINNIS
Credential	:	CCC
Telephone Number	:	571-208-7607

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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Directions to “SHEA'S SPEECH THERAPY PLLC ” Practice Location

Language	Start Address	Practice Location

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