Provider Demographics
NPI:1336775824
Name:HEPWORTH, SHAELA (SLPA)
Entity type:Individual
Prefix:
First Name:SHAELA
Middle Name:
Last Name:HEPWORTH
Suffix:
Gender:
Credentials:SLPA
Other - Prefix:
Other - First Name:SHAELA
Other - Middle Name:
Other - Last Name:HANEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13039 FALCON HWY
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-8024
Mailing Address - Country:US
Mailing Address - Phone:719-209-3365
Mailing Address - Fax:
Practice Address - Street 1:13039 FALCON HWY
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-8024
Practice Address - Country:US
Practice Address - Phone:719-209-3365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-17
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist