Frost, Shayna Latrice

Frost, Shayna Latrice is an sole proprietor health care provider with primary practice located at 2810 Frank Scott Pkwy W Ste 824, Belleville IL 62223-5007. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Frost, Shayna Latrice can be contacted via phone (618) 234-9705.

Contact Information

Primary practice address
2810 Frank Scott Pkwy W Ste 824 Belleville IL 62223-5007
Fax: (618) 257-0665
Website:

Health care specialties

Profile Details

NPI number 1124231980
LBN Legal business name Frost, Shayna Latrice
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Aug 31st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124231980 NPPES
Arkansas MEDICAID 157410721
Arkansas Other 5Y615

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