Provider Demographics
NPI:1093498271
Name:HANSHAW, HEATHER C (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:C
Last Name:HANSHAW
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4902 W 57TH ST
Mailing Address - Street 2:
Mailing Address - City:ROELAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2827
Mailing Address - Country:US
Mailing Address - Phone:913-548-8842
Mailing Address - Fax:
Practice Address - Street 1:6223 SLATER ST
Practice Address - Street 2:
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66202-2848
Practice Address - Country:US
Practice Address - Phone:913-620-1007
Practice Address - Fax:913-273-0798
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4379235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist