Provider Demographics
NPI:1003368176
Name:MCALEVY, SHAWN WILLIAM (HIS)
Entity Type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:WILLIAM
Last Name:MCALEVY
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8449 HICKMAN RD
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-4319
Mailing Address - Country:US
Mailing Address - Phone:515-278-5500
Mailing Address - Fax:
Practice Address - Street 1:8449 HICKMAN RD
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-4319
Practice Address - Country:US
Practice Address - Phone:515-278-5500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA081042237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist