Provider Demographics
NPI:1922997691
Name:HINTON, MISTY MICHELLE (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MISTY
Middle Name:MICHELLE
Last Name:HINTON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 LIOBA DR
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-9613
Mailing Address - Country:US
Mailing Address - Phone:316-250-2881
Mailing Address - Fax:
Practice Address - Street 1:341 LIOBA DR
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-9613
Practice Address - Country:US
Practice Address - Phone:316-250-2881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2251235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist