| Doctor Name: | MS. SHERRI ANITA TILLMAN |
| NPI Number: | 1225291099 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MCD, CCC-SLP |
| License Number: | 12080866 |
| Business Practice Address: | 1 Freedom Way 27adr Augusta, GA - 309046258 |
| Business Phone Number: | 7067330188 |
| Business Fax Number: | |
| Mailing Address: | 218 Crystal Peak Dr, GRANITEVILLE |
| State: | SC |
| Postal Code: | 298293747 |
| Phone Number: | 8035390433 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2008 |
| NPI Last Update Date: | 07/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 12080866 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| 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 |