Provider Demographics
NPI:1285100388
Name:HESS, SEAN (PHD, CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:
Last Name:HESS
Suffix:
Gender:M
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6644 N POSTON ST
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67219-1767
Mailing Address - Country:US
Mailing Address - Phone:316-518-8972
Mailing Address - Fax:
Practice Address - Street 1:6644 N POSTON ST
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:KS
Practice Address - Zip Code:67219-1767
Practice Address - Country:US
Practice Address - Phone:316-518-8972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-17
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4037235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
14036827OtherAMERICAN SPEECH-LANGUGAE HEARING ASSOCIATION
KS4037OtherKANSAS STATE SPEECH PATHOLOGY LICENSURE