Provider Demographics
NPI:1285922856
Name:MCCLURE, SHAWN N (AUD)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:N
Last Name:MCCLURE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:SHAWN
Other - Middle Name:N
Other - Last Name:BEAMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:320 NW VICTORIA DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-4700
Mailing Address - Country:US
Mailing Address - Phone:816-265-6150
Mailing Address - Fax:
Practice Address - Street 1:320 NW VICTORIA DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-4700
Practice Address - Country:US
Practice Address - Phone:816-265-6150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011017808231H00000X
KS2207231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist