Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shannon Rae Shaffer, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1619728037

Mrs. Shannon Rae Shaffer, MA, CCC-SLP is a Qualified Speech Language Pathologist in Greenwood, Indiana. Qualified in 2018, 8 years ago. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2024
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
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

633 Library Park Dr Ste J
Greenwood, IN 46142-1578
Phone: (317) 881-9923
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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 14337051 (IN)

Record details

NPI number1619728037
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedApril 1, 2024
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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