Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Shannon Dupuis, MSCCCSLP

Individual provider Speech-Language Pathologist · NPI 1467587386

MS. Shannon Dupuis, MSCCCSLP is a Qualified Speech Language Pathologist in Riverhead, New York. Qualified in 2004, 22 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

129 Ostrander Ave
Riverhead, NY 11901-4643
Phone: (631) 740-9060
Fax: (440) 401-2605
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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 016250-1 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1467587386
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorYes
NPI enumeratedFebruary 22, 2007
Last updated in NPPESDecember 3, 2022
Certification dateDecember 3, 2022

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Riverhead