MR. BENJAMIN WHITNEY SHELBURN (NPI# 1720438427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720438427 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN WHITNEY SHELBURN |
| Credential | M.S. |
| Practice Address |
828 Villa Ridge Pkwy Lawrenceville GA 30044-2314 |
| Practice Telephone | 8038731319 |
| Mailing Telephone | 8038731319 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP009255 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
828 VILLA RIDGE PKWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-2314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568272 | Ivonne Marie Maldonado De La Rosa | Speech-Language Pathologist | 802 Veranda Chase Dr, Lawrenceville, GA 30044-7164 | 2020-05-01 |
| 1831746072 | Marcia Nicole Dixon | Speech-Language Pathologist | 930 New Hope Rd Ste 12, Lawrenceville, GA 30045-3837 | 2019-08-22 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1922508050 | Ebony L. Jasper | Speech-Language Pathologist | 1432 Penhurst Dr, Lawrenceville, GA 30043-8165 | 2018-02-15 |
| 1700392230 | Shelby L Newton | Speech-Language Pathologist | 1900 Cedar St, Lawrenceville, IL 62439-2156 | 2017-12-20 |
| 1598275083 | Ashley Thompson | Speech-Language Pathologist | 250 Langley Dr Ste 1108, Lawrenceville, GA 30046-6932 | 2017-10-10 |
| 1194266411 | Shyla Miller | Speech-Language Pathologist | 578 Hardy Water Dr, Lawrenceville, GA 30045-2257 | 2017-03-20 |
| 1871030494 | Sandra Cook-anderson | Speech-Language Pathologist | 104 Point Ct, Lawrenceville, NJ 08648-2861 | 2017-01-20 |
| 1932575669 | Julia Nieten-norman | Speech-Language Pathologist | 1152 Chadwick Lake Dr, Lawrenceville, GA 30043-7024 | 2015-08-17 |
| 1811372998 | Ashley E Mccurry | Speech-Language Pathologist | 1509 Atkinson Rd Ste 1100, Lawrenceville, GA 30043-7986 | 2015-07-30 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
Please comment or provide details below to improve the information on MR. BENJAMIN WHITNEY SHELBURN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.