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SHIRELY COOPER FULLARD MA, CCC-SLP
NPI 1073908612
Speech-Language Pathologist in Baltimore, MD

Active since March 31, 2015
416 E 30TH ST, BALTIMORE, MD 21218(410) 889-0727(410) 889-0729 Get Directions Write a Review

NPPES record last updated: March 31, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shirely Cooper Fullard Ma, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRELY COOPER FULLARD MA, CCC-SLP (NPI 1073908612) is an individual speech-language pathologist provider in Baltimore, Maryland, licensed in New Jersey (41YS00485300) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1073908612
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSHIRELY COOPER FULLARDCredential: MA, CCC-SLP
Location Address416 E 30TH STBaltimore, MD 21218-3934
Mailing Address416 E 30th StBaltimore, MD 21218-3934 · (410) 889-0727 · Fax (410) 889-0729
Phone(410) 889-0727
Fax(410) 889-0729
Sole ProprietorNo
Enumeration DateMarch 31, 2015
✔ NPI 1073908612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NJ · 41YS00485300
Definition

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.

416 E 30TH ST, Baltimore, MD 21218
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA SOBCZAK
Occupational Therapist
416 E 30TH ST
BALTIMORE, MD 21218
Baltimore City (410) 889-0727
KATHRYN PETRARCA
Social Worker (Clinical)
416 E 30TH ST
BALTIMORE, MD 21218
Baltimore City (410) 889-0727
ALPHA HEALTHCARE GROUP, LLC
Physical Therapist
416 E 30TH ST
BALTIMORE, MD 21218
Baltimore City (410) 889-0727
LESHIA NICOLE WEERS MOTR/L
Occupational Therapist
416 E 30TH ST
BALTIMORE, MD 21218
Baltimore City (410) 889-0727
JIGNESH M PATEL
Physical Therapist
416 E 30TH ST
BALTIMORE, MD 21218
Baltimore City (410) 889-0727
DOROTHEA MYERS
Social Worker (Clinical)
416 E 30TH ST
BALTIMORE, MD 21218
Baltimore City (410) 889-0727
ENDURANCE EGONMWAN
Occupational Therapist
416 E 30TH ST
BALTIMORE, MD 21218
Baltimore City (410) 889-0727
ARIKA MAHAJAN
Physical Therapist
416 E 30TH ST
BALTIMORE, MD 21218
Baltimore City (410) 889-0727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirely Fullard's NPI number?

The NPI number for Shirely Fullard is 1073908612. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Shirely Fullard located?

Shirely Fullard practices at 416 E 30th St, Baltimore, MD 21218. The listed phone number is (410) 889-0727.

What is Shirely Fullard's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Shirely Fullard was last updated on March 31, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.