Provider Demographics
NPI:1285818989
Name:SHEFFIELD, KAYE ROWE (MS, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:KAYE
Middle Name:ROWE
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 PONDEROSA TRL
Mailing Address - Street 2:
Mailing Address - City:CALIMESA
Mailing Address - State:CA
Mailing Address - Zip Code:92320-1527
Mailing Address - Country:US
Mailing Address - Phone:909-795-6011
Mailing Address - Fax:
Practice Address - Street 1:371 PONDEROSA TRL
Practice Address - Street 2:
Practice Address - City:CALIMESA
Practice Address - State:CA
Practice Address - Zip Code:92320-1527
Practice Address - Country:US
Practice Address - Phone:909-795-6011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP1473235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist