Doctor Name: | EMMA CLARE SHERIDAN |
NPI Number: | 1215296306 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 12-019 |
Business Practice Address: | 3699 Alexandria Pike Suite D Cold Spring, KY - 410761789 |
Business Phone Number: | 8595720430 |
Business Fax Number: | 8595720163 |
Mailing Address: | 3699 Alexandria Pike, Suite D COLD SPRING |
State: | KY |
Postal Code: | 410761789 |
Phone Number: | 8595720430 |
Fax Number: | 8595720163 |
NPI Enumeration Date: | 05/09/2012 |
NPI Last Update Date: | 04/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12-019 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
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 |