KELLEY A SHAW (NPI# 1780705848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780705848 |
| Entity Type | Individual |
| Full Name | KELLEY A SHAW |
| Credential | M.S., CCC-SLP |
| Practice Address |
11 Newburg Ave Catonsville MD 21228-5108 |
| Mailing Address |
404 Locust Dr Catonsville MD 21228-5132 |
| Practice Telephone | 4105980703 |
| Mailing Telephone | 4105980703 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 04070 | MD | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356618912 | Kelley C Shaw | Nurse Practitioner | 3400a Old Milton Pkwy Ste 330, Alpharetta, GA 30005-4438 | 2011-11-28 |
| 1750634226 | Kelley Parker Shaw | Counselor | 200 Mcgee Rd, Anderson, SC 29625-2104 | 2012-10-22 |
| Street Address |
11 NEWBURG AVE |
| City | CATONSVILLE |
| State | MD |
| Zip Code | 21228-5108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154347821 | Heather Stanley | Social Worker | 11 Newburg Ave, Suite 201, Catonsville, MD 21228-5108 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| 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 |
|---|---|---|---|---|
| 1457915266 | Ellen Drugmand Mccoy | Speech-Language Pathologist | 2301 Edmondson Ave, Catonsville, MD 21228-4714 | 2019-04-26 |
| 1467914986 | Rachel Lauren Clingerman | Speech-Language Pathologist | 2021 Norhurst Way S, Catonsville, MD 21228-4117 | 2019-04-03 |
| 1912464686 | Jennifer Kennedy Anderson | Speech-Language Pathologist | 4 Bitternut Ct, Catonsville, MD 21228-5866 | 2019-02-28 |
| 1174018493 | Elyssa Leigh Burk | Speech-Language Pathologist | 6000 Edmondson Ave, Catonsville, MD 21228-1933 | 2018-06-28 |
| 1598116253 | Katherine Winters | Speech-Language Pathologist | 408 Gralan Rd, Catonsville, MD 21228-4213 | 2016-06-23 |
| 1427412907 | Vanessa Peregrim | Speech-Language Pathologist | 510 Academy Rd, Catonsville, MD 21228-1812 | 2016-04-11 |
| 1457793879 | Susan Sancilio La Count | Speech-Language Pathologist | 103 Birdwood Ave, Catonsville, MD 21228-4969 | 2013-07-26 |
| 1518176890 | Michele Jean Miller | Speech-Language Pathologist | 4a N Beaumont Ave, Catonsville, MD 21228-4401 | 2007-05-22 |
| 1801013263 | Cathleen Shields | Speech-Language Pathologist | 403 Shade Tree Pl Apt H, Catonsville, MD 21228-1855 | 2007-04-19 |
| 1518594829 | Lindsey Wilhelm | Speech-Language Pathologist | 16 Fusting Ave, Catonsville, MD 21228-4413 | 2020-03-25 |
| Find all providers in CATONSVILLE | ||||
| City | CATONSVILLE |
| Zip Code | 21228 |
Please comment or provide details below to improve the information on KELLEY A SHAW.
| 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.