Provider Demographics
NPI:1396385605
Name:FINLEY, SHYANN (MS-CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SHYANN
Middle Name:
Last Name:FINLEY
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 1:2636 N 157TH TER
Mailing Address - Street 2:
Mailing Address - City:BASEHOR
Mailing Address - State:KS
Mailing Address - Zip Code:66007-9225
Mailing Address - Country:US
Mailing Address - Phone:913-306-5697
Mailing Address - Fax:
Practice Address - Street 1:2636 N 157TH TER
Practice Address - Street 2:
Practice Address - City:BASEHOR
Practice Address - State:KS
Practice Address - Zip Code:66007-9225
Practice Address - Country:US
Practice Address - Phone:913-306-5697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4453235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist