Provider Demographics
NPI:1720973985
Name:SHECKLER, MASON (MS; SLP)
Entity type:Individual
Prefix:
First Name:MASON
Middle Name:
Last Name:SHECKLER
Suffix:
Gender:F
Credentials:MS; SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 STRUCK ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-1383
Mailing Address - Country:US
Mailing Address - Phone:608-234-5990
Mailing Address - Fax:608-819-6825
Practice Address - Street 1:639 STRUCK ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1383
Practice Address - Country:US
Practice Address - Phone:608-234-5990
Practice Address - Fax:608-819-6825
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6986-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist