Deborah L Sherrill

Individual provider Active NPI Speech-Language Pathologist · Park Hills, MO

NPI 1487832432 · NPPES record last updated Feb 1, 2008

Key facts

NPI
1487832432
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
113602 (MO)
Practice address
200 High St
Park Hills, MO 63601-2557
Phone
(573) 431-2713
NPI assigned
Feb 1, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
113602MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central School District Riii Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 113602 MO Yes

Addresses

Primary practice location

200 High St
Park Hills, MO 63601-2557

Mailing address

402 Hovis Farm
Park Hills, MO 63601
Phone (573) 431-3547

Other providers in Park Hills, MO

All providers in Park Hills, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.