Doctor Name: | MS. CARRIE LYNN SHERRETTA |
NPI Number: | 1235443722 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MACCC-SLP |
License Number: | SL003092L |
Business Practice Address: | 2229 Panama St Philadelphia, PA - 191036525 |
Business Phone Number: | 2157324006 |
Business Fax Number: | |
Mailing Address: | 2229 Panama St, PHILADELPHIA |
State: | PA |
Postal Code: | 191036525 |
Phone Number: | 2157324006 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2010 |
NPI Last Update Date: | 07/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL003092L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |