Individual
SALLY J. SHUBAT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
2401 GILLHAM RD, CHILDREN'S MERCY HEARING AND SPEECH, KANSAS CITY, MO 64108-4619
(816) 234-3762
(816) 234-3291
Mailing address
5334 NORWOOD ST, FAIRWAY, KS 66205-2646
(913) 722-3889
(816) 234-3291
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00978
MO
235Z00000X
Speech-Language Pathologist
2261
KS
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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