Kaitlin Shanahan Fagan
Speech-Language Pathologist

Address: 768 N Taney St, Philadelphia, PA 19130-2418
Phone: 6106757734

Kaitlin Shanahan Fagan (NPI# 1437755006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1437755006
Entity Type Individual
Full Name Kaitlin Shanahan Fagan
Credential CCC-SLP
Gender Female
Practice Address 768 N Taney St
Philadelphia
PA 19130-2418
Practice Telephone 6106757734
Mailing Address 768 N Taney St
Philadelphia
PA 19130-2418
Mailing Telephone 6106757734
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-12-09
Last Update Date 2020-12-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers SL015152 PA
No 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers 77218-SP-SL MA

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831793553 Veronica Cristiano Speech-Language Pathologist 4521 Chester Ave Apt 2, Philadelphia, PA 19143-3706 2020-11-23
1912509217 Jessica Pachuski Speech-Language Pathologist 4462 Silverwood St Apt 2, Philadelphia, PA 19127-1369 2020-11-11
1821696931 Abigail Stern Speech-Language Pathologist 4827 Umbria St, Philadelphia, PA 19127-1916 2020-10-12
1750988754 Jennifer M Lisberger Speech-Language Pathologist 130 N 2nd St Unit 2c, Philadelphia, PA 19106-4604 2020-10-04
1487261699 Brooke Ashley Beechan Speech-Language Pathologist 1712 Green St Apt 4, Philadelphia, PA 19130-4132 2020-09-30
1841807245 Jaclyn Isis Lisberger Speech-Language Pathologist 130 North 2nd Street-#2e, Philadelphia, PA 19106 2020-09-29
1164039616 Alexandra Gallagher Slp Speech-Language Pathologist 1326 N Mascher St Unit E, Philadelphia, PA 19122-4630 2020-09-29
1245846872 Brittany Mae Smolar Speech-Language Pathologist 1539 S Garnet St, Philadelphia, PA 19146-4627 2020-09-18
1063026904 Katherine Mary Moran Speech-Language Pathologist 3327 Krail St, Philadelphia, PA 19129-1526 2020-09-08
1235749383 Morgan Stanislaus Speech-Language Pathologist 633 W Rittenhouse St Apt B614, Philadelphia, PA 19144-4320 2020-08-04
Find all providers in PHILADELPHIA

Office Location

Street Address 768 N TANEY ST
City PHILADELPHIA
State PA
Zip Code 19130-2418

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912518226 Karen Dybner-madero Psychologist 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 2020-08-11
1689213456 Nora Marie Corbett Physical Therapist 1714 Fairmount Avenue, Philadelphia, PA 19130 2019-12-27
1104470665 Thibault Counseling LLC Clinic/Center 2049 North Street, Philadelphia, PA 19130 2019-08-01
1619444577 Rebecca Boova Dietitian, Registered 1644 Francis St, #3, Philadelphia, PA 19130 2018-10-30
1184191108 Sharon Marie Thompson Nurse Practitioner School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 2018-10-29
1861918542 Theresa Mary Thompson Dental Hygienist Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 2017-08-15
1023539806 Marina France Social Worker 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 2017-06-30
1619425063 Sarah Nash Dietitian, Registered 420 North 20th Street, Philadelphia, PA 19130 2016-09-14
1154737757 Julia Ferrence Social Worker 2305 Fairmount Avenue, Philadelphia, PA 19130 2014-07-03
1811319924 Larry H Goldberg Internal Medicine 2441 Olive Street, Philadelphia, PA 19130 2014-01-08
Find all providers in zip 19130

Competitor

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City PHILADELPHIA
Zip Code 19130

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Dataset Information

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.