Provider Demographics
NPI:1629176987
Name:CALHOUN, SHEILA GAIL (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:GAIL
Last Name:CALHOUN
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 1:7936 SAUR RD
Mailing Address - Street 2:
Mailing Address - City:MACEO
Mailing Address - State:KY
Mailing Address - Zip Code:42355-9639
Mailing Address - Country:US
Mailing Address - Phone:270-316-9187
Mailing Address - Fax:270-264-0615
Practice Address - Street 1:7936 SAUR RD
Practice Address - Street 2:
Practice Address - City:MACEO
Practice Address - State:KY
Practice Address - Zip Code:42355-9639
Practice Address - Country:US
Practice Address - Phone:270-316-9187
Practice Address - Fax:270-264-0615
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1515235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000846OtherFIRST STEPS PROVIDER