Provider Demographics
NPI:1639834740
Name:HUGHES, SHAYNA (MS CCC SLP)
Entity Type:Individual
Prefix:
First Name:SHAYNA
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:SHAYNA
Other - Middle Name:
Other - Last Name:BESHORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC SLP
Mailing Address - Street 1:645 YUMA LOOP UNIT 304
Mailing Address - Street 2:
Mailing Address - City:KIOWA
Mailing Address - State:CO
Mailing Address - Zip Code:80117-9323
Mailing Address - Country:US
Mailing Address - Phone:720-333-0200
Mailing Address - Fax:
Practice Address - Street 1:645 YUMA LOOP UNIT 304
Practice Address - Street 2:
Practice Address - City:KIOWA
Practice Address - State:CO
Practice Address - Zip Code:80117-9323
Practice Address - Country:US
Practice Address - Phone:720-333-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-03
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14393768ASHA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist