Doctor Name: | SHARON MARIE CARMODY |
NPI Number: | 1053666875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 2202004381 |
Business Practice Address: | 725 Jackson St Suite 218 Fredericksburg, VA - 224015761 |
Business Phone Number: | 5406930527 |
Business Fax Number: | |
Mailing Address: | 313 Princess Anne St, FREDERICKSBURG |
State: | VA |
Postal Code: | 224016040 |
Phone Number: | 5402731439 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2012 |
NPI Last Update Date: | 07/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202004381 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |