Individual provider · Type 1 NPI

Daisha Shine, OTR

Speech-Language Pathologist · Stone Mountain, GA

NPI number 1447170840 Active

Practice location

4798 Hairston Crossing Rd
Stone Mountain, GA 30083-3464

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLP008356 (GA)

Speech-Language Pathologist: 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, resonan…

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About NPI 1447170840

Daisha Shine, OTR's National Provider Identifier is 1447170840, issued on Jul 16, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Jul 16, 2026.