IndividualActive
Shane Fletcher, SPEECH PATHOLOGIST
NPI 1891131256 · Early Intervention Provider Agency · Philadelphia, PA
Provider details
- NPI number
- 1891131256
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Credential
- SPEECH PATHOLOGIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- SL010819 (PA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1310 W Roosevelt Blvd
Philadelphia, PA 19140-2033
Phone: (215) 329-8800
Fax: (215) 329-8808
Street-level locationGet directions
Mailing address
1508 E Barringer St
Philadelphia, PA 19150-3302
Registry dates
- Enumerated
- 2013-05-13
- Last updated
- 2013-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.