Sharon Chevillet, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Dexter, MI
NPI 1336688134 · NPPES record last updated Feb 14, 2017
Key facts
- NPI
- 1336688134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7101004239 (MI)
- Practice address
- 10640 N Territorial Rd
Dexter, MI 48130-9581 - Phone
- (313) 971-3576
- NPI assigned
- Feb 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101004239 | MI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101004239 | MI | Yes |
Addresses
Primary practice location
10640 N Territorial Rd
Dexter, MI 48130-9581
Mailing address
10640 N Territorial Rd
Dexter, MI 48130-9581
Phone (313) 971-3576
Other providers in Dexter, MI
- Kristine Lorain Cece
- Betty J Chaffee
- Dafna Maya Charles
- Kathryn Chartrand
- Chelsea Professional Services
- Taylor Chick
- Clara'S House 2 LLC
- Daniel William Cole
- Curtis Collins
- Kaylee Su Commet
All providers in Dexter, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.