Individual
MR. BERNARD DENNIS SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
1951 SHENANGO VALLEY FREEWAY, HERMITAGE, PA 16148-2522
(724) 347-2005
(724) 347-4484
Mailing address
1951 SHENANGO VALLEY FREEWAY, HERMITAGE, PA 16148-2522
(724) 347-2005
(724) 347-4484
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SL000187L
PA
235Z00000X
Speech-Language Pathologist
Primary
SP2191
OH
237600000X
Audiologist-Hearing Aid Fitter
AT000076L
PA
237600000X
Audiologist-Hearing Aid Fitter
F02191
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000114987
ANTHEM BCBS
—
Enumeration date
08/30/2006
Last updated
09/11/2025
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