Provider Demographics
NPI:1578901948
Name:FRANK, SHELLY K (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHELLY
Middle Name:K
Last Name:FRANK
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 1:1207 S LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:KS
Mailing Address - Zip Code:66067-4202
Mailing Address - Country:US
Mailing Address - Phone:785-242-7654
Mailing Address - Fax:
Practice Address - Street 1:1207 S LINCOLN ST
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:KS
Practice Address - Zip Code:66067-4202
Practice Address - Country:US
Practice Address - Phone:785-242-7654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS311235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist