Provider Demographics
NPI:1003625740
Name:KERBEY, SHAYLYN SHEAFFER (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SHAYLYN
Middle Name:SHEAFFER
Last Name:KERBEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MRS
Other - First Name:SHAYLYN
Other - Middle Name:SHEAFFER
Other - Last Name:KERBEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:5333 E CAMBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-1718
Mailing Address - Country:US
Mailing Address - Phone:307-399-2134
Mailing Address - Fax:
Practice Address - Street 1:975 S. MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281
Practice Address - Country:US
Practice Address - Phone:480-965-2373
Practice Address - Fax:480-965-0076
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP10010235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist