Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaitlin Shanahan Fagan, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1437755006

Kaitlin Shanahan Fagan, CCC-SLP is a Speech-Language Pathologist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Massachusetts and Pennsylvania.

Licensed in
MA, PA
In the registry since
2020
Specialties on file
2
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

768 N Taney St
Philadelphia, PA 19130-2418
Phone: (610) 675-7734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SL015152 (PA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 77218-SP-SL (MA)

Record details

NPI number1437755006
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedDecember 9, 2020
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020

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