Doctor Name: | DR. SHARON LYN ROBERTS |
NPI Number: | 1295865442 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | EDD |
License Number: | SLP4526 |
Business Practice Address: | 15937 N 174th Ln Surprise, AZ - 853880270 |
Business Phone Number: | 6233886870 |
Business Fax Number: | |
Mailing Address: | 15937 N 174th Ln, SURPRISE |
State: | AZ |
Postal Code: | 853880270 |
Phone Number: | 6233886870 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP4526 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |