Individual ProviderRenee SheppardSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address8 Long View Ave, Riverside, CT 06878-2207(646) 242-3255PECOS EnrollmentBased on the most recent information from CMS, provider Renee Sheppard does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1235890914Provider TypeIndividualFull NameSheppard, ReneeCredentialMS, CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date1/5/2022Last Updated1/5/2022Contact InformationPractice LocationPractice Address8 Long View Ave, Riverside, CT 06878-2207Phone(646) 242-3255FaxUnlisted FaxMailing LocationMailing Address8 Long View Ave, Riverside, CT 06878-2207Phone(646) 242-3255FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense004358Connecticut