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

Shirely Cooper Fullard, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1073908612

Shirely Cooper Fullard, MA, CCC-SLP is a Speech-Language Pathologist in Baltimore, Maryland. Licensed in New Jersey. Registered with an NPI since 2015.

Licensed in
NJ
In the registry since
2015
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

416 E 30th St
Baltimore, MD 21218-3934
Phone: (410) 889-0727
Fax: (410) 889-0729
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 41YS00485300 (NJ)

Record details

NPI number1073908612
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 31, 2015
Last updated in NPPESMarch 31, 2015

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