Provider Demographics
NPI:1912573155
Name:CLAIRE SELIN, LLC
Entity Type:Organization
Organization Name:CLAIRE SELIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:SELIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-428-0610
Mailing Address - Street 1:7331 W 80TH ST STE D
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-3754
Mailing Address - Country:US
Mailing Address - Phone:913-428-0610
Mailing Address - Fax:913-428-9648
Practice Address - Street 1:7331 W 80TH ST STE D
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-3754
Practice Address - Country:US
Practice Address - Phone:913-428-0610
Practice Address - Fax:913-428-9648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty