Provider Demographics
NPI:1134394083
Name:MENINA, SHAI LYN (MED)
Entity type:Individual
Prefix:MS
First Name:SHAI
Middle Name:LYN
Last Name:MENINA
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 DRURY LN
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70460-8445
Mailing Address - Country:US
Mailing Address - Phone:985-781-4056
Mailing Address - Fax:985-646-1184
Practice Address - Street 1:429 DRURY LN
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70460-8445
Practice Address - Country:US
Practice Address - Phone:985-781-4056
Practice Address - Fax:985-646-1184
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2023-09-22
Deactivation Date:2023-06-05
Deactivation Code:
Reactivation Date:2023-09-22
Provider Licenses
StateLicense IDTaxonomies
LA3963A2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant