Provider Demographics
NPI:1336886647
Name:MESSICK, SHAYNA EMMELINA (SLP)
Entity Type:Individual
Prefix:
First Name:SHAYNA
Middle Name:EMMELINA
Last Name:MESSICK
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:SHAYNA
Other - Middle Name:EMMELINA
Other - Last Name:CHARLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7819 CONSER PL
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2820
Mailing Address - Country:US
Mailing Address - Phone:913-789-9900
Mailing Address - Fax:
Practice Address - Street 1:7819 CONSER PL
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-2820
Practice Address - Country:US
Practice Address - Phone:913-789-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist