Shayna Latrice Frost in Belleville - Speech-language Pathologist

Shayna Latrice Frost - NPI 1124231980

Shayna Latrice Frost is a Speech-language Pathologist in Belleville, Illinois. Shayna Latrice Frost practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Shayna Latrice Frost is 1124231980. The last update date is 2012-08-31.

Shayna Latrice Frost's current location address is 2810 Frank Scott Pkwy W, Belleville, Illinois. You can contact this provider via phone number 6182349705 and fax number 6182570665. The mailing address for Shayna Latrice Frost is 2810 Frank Scott Pkwy W, Belleville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Shayna Latrice Frost
Address 2810 Frank Scott Pkwy W, Belleville, Illinois
Phone Number 6182349705
Fax Number 6182570665
Sole Proprietor Y
Credentials MS, CCC-SL

NPI Number Detail

NPI Number 1124231980
Provider Enumeration Date 2007-05-08
Last Updated Date 2012-08-31

Provider Mailing Address Detail

Address 2810 Frank Scott Pkwy W
City Belleville
State Illinois (IL)
Post Code 622235007
Phone Number 6182349705
Fax Number 6182570665

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 2273
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
157410721 AR --
5Y615 AR BLUE CROSS BLUE SHIELD

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FAQs about Shayna Latrice Frost

What is the unique identifier code issued to Shayna Latrice Frost by the Centers for Medicare & Medicaid Services (CMS)?

The Shayna Latrice Frost has been assigned the NPI (National Provider Identifier) 1124231980. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Shayna Latrice Frost is geographically located?

The Shayna Latrice Frost is physically situated at the following location: 2810 Frank Scott Pkwy W, Belleville, IL, 622235007.

What is Shayna Latrice Frost's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Shayna Latrice Frost's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.

On what date did the Shayna Latrice Frost receive its 1124231980 assignment from the Centers for Medicare & Medicaid Services?

The Shayna Latrice Frost was assigned its 1124231980 by the Centers for Medicare & Medicaid Services on 2007-05-08.

As of what date were the details related to Shayna Latrice Frost most recently updated or revised?

The information pertaining to Shayna Latrice Frost, including its address, specialty, and other relevant details, was last updated or revised on 2012-08-31.

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