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

Wesley Shane Blackburn, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1801376827

Wesley Shane Blackburn, CCC-SLP is a Speech-Language Pathologist in Needham, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

150 Lincoln St
Needham, MA 02492-2914
Phone: (781) 449-4040
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 76489 (MA)

Record details

NPI number1801376827
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 20, 2018
Last updated in NPPESAugust 20, 2018

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