WESLEY SHANE BLACKBURN CCC-SLP NPI 1801376827

NPI Information

  • NPI: 1801376827
  • Provider Name: WESLEY SHANE BLACKBURN, CCC-SLP
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 150 LINCOLN ST
    NEEDHAM, MA
    ZIP 02492
  • Phone: (781) 449-4040

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NPI Details

Wesley Shane Blackburn, CCC-SLP is a speech language pathologist in Needham, MA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Wesley Shane Blackburn, CCC-SLP NPI is 1801376827. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

150 LINCOLN ST
NEEDHAM, MA
ZIP 02492-914
Phone: (781) 449-4040

The enumeration date for this NPI number is 8/20/2018 and was last updated on 8/20/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist76489MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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