Doctor Name: | MRS. TONYA SHEA |
NPI Number: | 1598938904 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS/CCC-SLP |
License Number: | KY-1751 |
Business Practice Address: | 425 Broadway St Ste 204 Paducah, KY - 420010713 |
Business Phone Number: | 2704426223 |
Business Fax Number: | |
Mailing Address: | 291 Buck Lane, BENTON |
State: | KY |
Postal Code: | 42025 |
Phone Number: | 2708980345 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2008 |
NPI Last Update Date: | 06/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | KY-1751 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
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 |