OrganizationActive
Shine Speech Language Pathology, LLC
NPI 1407594054 · Hearing and Speech Clinic/Center · Philadelphia, PA
Provider details
- NPI number
- 1407594054
- Entity type
- Organization
- Primary specialty
- Hearing and Speech Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lauren Bevan, Speech-Language Pathologist(717) 343-4073
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2450 Federal St Apt 2
Philadelphia, PA 19146-2432
Phone: (717) 343-4073
Approximate (ZIP-level) locationGet directions
Mailing address
2450 Federal St Apt 2
Philadelphia, PA 19146-2432
Registry dates
- Enumerated
- 2022-05-24
- Last updated
- 2022-05-24
- Certified
- 2022-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.