| Shelby Lynn Jack, MS, CCC-SLP | |
|
1501 Inverness Dr, Lawrence, KS 66047-1870 | |
| (417) 209-6270 | |
| Not Available |
| Full Name | Shelby Lynn Jack |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1501 Inverness Dr, Lawrence, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992349344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407487366 PECOS PAC ID: 2163339722 Enrollment ID: O20200327001604 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Lynn Jack, MS, CCC-SLP 1311 E 100th Ter, Kansas City, MO 64131-3311 Ph: (417) 209-6270 | Shelby Lynn Jack, MS, CCC-SLP 1501 Inverness Dr, Lawrence, KS 66047-1870 Ph: (417) 209-6270 |
Mrs. Laura Elaine Larson, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1600 Kentucky St, #3, Lawrence, KS 66044 Phone: 785-979-5697 | |
Dr. Betty Louise Bunce, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Sunnyside Ave, 2101 Haworth Hall, Lawrence, KS 66045 Phone: 785-864-4690 Fax: 785-864-5094 | |
Meredith Adler, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2200 Harvard Rd, Suite 101, Lawrence, KS 66049 Phone: 785-842-0656 Fax: 785-842-0071 | |
Lindsay Williams, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 507 Yorkshire Dr, Lawrence, KS 66049 Phone: 971-998-4192 | |
Courtney Alexandra Chacon, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 616 Vermont St Ste B, Lawrence, KS 66044 Phone: 785-550-7481 Fax: 785-274-8179 | |
Hannah Elise Powell, MA SLP CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 321 Tallgrass Ct, Lawrence, KS 66049 Phone: 785-643-2381 | |
Christine Michele Kosirog, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2200 Harvard Rd, Suite 101, Lawrence, KS 66049 Phone: 785-842-0656 |