Provider Demographics
NPI:1356212245
Name:TESSER, SHAINA (CCC SLP)
Entity type:Individual
Prefix:
First Name:SHAINA
Middle Name:
Last Name:TESSER
Suffix:
Gender:F
Credentials:CCC SLP
Other - Prefix:
Other - First Name:SHAINA
Other - Middle Name:
Other - Last Name:LERCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC SLP
Mailing Address - Street 1:15 KATHERINE AVE
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1725
Mailing Address - Country:US
Mailing Address - Phone:347-902-2881
Mailing Address - Fax:
Practice Address - Street 1:7500 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:MELROSE PARK
Practice Address - State:PA
Practice Address - Zip Code:19027
Practice Address - Country:US
Practice Address - Phone:610-520-1482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL018791235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist