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Active NPI 1801376827 Individual Practitioner Male Practitioner

Wesley Shane Blackburn , CCC-SLP

Speech-Language Pathologist • Needham, MA

Professional Overview & Biography Verified Profile Summary

Wesley Blackburn, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Needham, MA. Practice services are available at 150 LINCOLN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

150 Lincoln St

Needham, MA 024922914

Telephone 7814494040
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Needham, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
64 Specialists

Practicing in Needham, MA (4034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MA 76489

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Diane Luca , PTA

Physical Therapy Assistant

NPI 1265609366

Physical Therapist Assistant

Christine Flynn , COTA, L

Occupational Therapy Assistant

NPI 1841466398

Certified Occupational Therapy Assistant, L

Dr. Dhaval Prajapati , DPT

Physical Therapist

NPI 1972779502

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2018

Registered at 150 LINCOLN ST, NEEDHAM, MA 024922914 (Tel: 7814494040)

📍
Updated Business Mailing Address August 20, 2018

Registered at 2 HANCOCK STREET, APARTMENT 322, QUINCY, MA 15427 (Tel: 7242888779)

👤
Provider Name / Credentials Updated August 20, 2018

Recorded as WESLEY BLACKBURN, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2018

Speech-Language Pathologist (License #76489 in MA)

🟢
Initial NPI Registration & Enumeration August 20, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1801376827
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2018
Last Update: August 20, 2018
Sole Proprietor: Yes

Mailing Address

2 Hancock Street, Apartment 322

Quincy, MA 15427

Phone: 7242888779

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.