Individual
MRS. TONYA SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
425 BROADWAY ST STE 204, PADUCAH, KY 42001-0713
(270) 442-6223
Mailing address
291 BUCK LANE, BENTON, KY 42025
(270) 898-0345
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
235Z00000X
Speech-Language Pathologist
KY-1751
KY
Other
Enumeration date
04/07/2008
Last updated
06/13/2016
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