Wesley Shane Blackburn, CCC-SLP - Speech-Language Pathologist in Needham, MA

Wesley Shane Blackburn, CCC-SLP is a Speech-language Pathologist based in Needham, Massachusetts. Wesley Shane Blackburn is licensed to practice in Massachusetts (license number 76489) and his current practice location is 150 Lincoln St, Needham, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (781) 449-4040.

NPI number for Wesley Shane Blackburn is 1801376827 and his current mailing address is 2 Hancock Street, Apartment 322, Quincy, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801376827.

Contact Information

Wesley Shane Blackburn, CCC-SLP
150 Lincoln St,
Needham, MA 02492-2914
(781) 449-4040
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameWesley Shane Blackburn
GenderMale
SpecialitySpeech-language Pathologist
Location150 Lincoln St, Needham, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801376827
  • Provider Enumeration Date: 08/20/2018
  • Last Update Date: 08/20/2018

Medical Identifiers

Medical identifiers for Wesley Shane Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801376827NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 76489 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wesley Shane Blackburn is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wesley Shane Blackburn, CCC-SLP
2 Hancock Street, Apartment 322,
Quincy, MA 15427

Ph: (724) 288-8779
Wesley Shane Blackburn, CCC-SLP
150 Lincoln St,
Needham, MA 02492-2914

Ph: (781) 449-4040

Reviews and Comments


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