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

Shane Fletcher, SPEECHPATHOLOGIST

Individual provider Early Intervention Provider Agency · NPI 1891131256

Shane Fletcher, SPEECHPATHOLOGIST is an Early Intervention Provider Agency in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2013

Practice location Address checks out

1310 W Roosevelt Blvd
Philadelphia, PA 19140-2033
Phone: (215) 329-8800
Fax: (215) 329-8808
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence SL010819 (PA)

Record details

NPI number1891131256
Entity typeIndividual (Type 1)
GenderFemale
Credentials SPEECHPATHOLOGIST
Sole proprietorYes
NPI enumeratedMay 13, 2013
Last updated in NPPESMay 13, 2013

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