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

Shannon Intelisano

Individual provider Speech-Language Pathologist · NPI 1285859264

Shannon Intelisano is a Qualified Speech Language Pathologist in Middlefield, Ohio. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
29
Licensed in
OH
In the registry since
2007

Practice location Address checks out

15796 Georgia Rd
Middlefield, OH 44062-9261
Phone: (440) 221-4296
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP5758 (OH)

Record details

NPI number1285859264
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2007
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022
Mailing address15796 Georgia Rd, Middlefield, OH 44062-9261

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Middlefield