Individual
MRS. DOREEN KAY SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
2701 SW RANDOLPH AVE, TOPEKA, KS 66611-1536
(785) 232-0597
Mailing address
2118 SW BROOKFIELD ST, TOPEKA, KS 66614-4233
(785) 273-8158
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00628
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115392
BCBS PROVIDER NUMBER
KS
Enumeration date
02/27/2007
Last updated
07/08/2007
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