| Doctor Name: | SALLY J. SHUBAT |
| NPI Number: | 1417999541 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. CCC-SLP |
| License Number: | 2261 |
| Business Practice Address: | 2401 Gillham Rd Children's Mercy Hearing And Speech Kansas City, MO - 641084619 |
| Business Phone Number: | 8162343762 |
| Business Fax Number: | 8162343291 |
| Mailing Address: | 5334 Norwood St, FAIRWAY |
| State: | KS |
| Postal Code: | 662052646 |
| Phone Number: | 9137223889 |
| Fax Number: | 8162343291 |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2261 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |