Provider Demographics
NPI:1942713474
Name:SHAHAR, MAY (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MAY
Middle Name:
Last Name:SHAHAR
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 JACARANDA DR APT 106
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2518
Mailing Address - Country:US
Mailing Address - Phone:954-683-5663
Mailing Address - Fax:
Practice Address - Street 1:3029 NE 188TH ST APT 1107
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2873
Practice Address - Country:US
Practice Address - Phone:954-683-5663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-06
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028079-01235Z00000X
FLSZ8245235Z00000X
FLSA19299235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist