Provider Demographics
NPI:1053202606
Name:MOONEY, SHAELYN (SLP-CF)
Entity type:Individual
Prefix:
First Name:SHAELYN
Middle Name:
Last Name:MOONEY
Suffix:
Gender:F
Credentials:SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 WESTFIELD PL
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-3856
Mailing Address - Country:US
Mailing Address - Phone:412-719-2136
Mailing Address - Fax:
Practice Address - Street 1:7889 N COOLVILLE RIDGE RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-8400
Practice Address - Country:US
Practice Address - Phone:740-247-5454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.20253162-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist