Doctor Name: | MRS. SHAWNTELLE DEONE SHUTE |
NPI Number: | 1518104033 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC/SLP |
License Number: | 1939 |
Business Practice Address: | 11134 Jennie Cir Wichita, KS - 67212 |
Business Phone Number: | 3166411827 |
Business Fax Number: | |
Mailing Address: | 11134 Jennie Cir, WICHITA |
State: | KS |
Postal Code: | 67212 |
Phone Number: | 3166411827 |
Fax Number: | |
NPI Enumeration Date: | 01/21/2009 |
NPI Last Update Date: | 01/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1939 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |