Provider Demographics
NPI:1306656160
Name:LANGLEY, SHAWN (BC-HIS)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:LANGLEY
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 W MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-7669
Mailing Address - Country:US
Mailing Address - Phone:501-605-5200
Mailing Address - Fax:
Practice Address - Street 1:2080 W MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-7669
Practice Address - Country:US
Practice Address - Phone:501-605-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR665237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist