Wesley Shane Blackburn, CCC-SLP
NPI #1801376827 in Needham, Massachusetts
Provider Information
- NPI Number
- 1801376827
- Entity Type
- Individual
- Name
- Wesley Shane Blackburn, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Aug 20, 2018
- Last Updated
- Aug 20, 2018
Practice Location
- Address
- 150 LINCOLN ST
- City
- Needham
- State
- Massachusetts
- ZIP Code
- 02492-2914
- Phone
- (781) 449-4040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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