Doctor Name: | MARK CHARLES SCHERMERHORN |
NPI Number: | 1346574399 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, CCC-SLP |
License Number: | 4162 |
Business Practice Address: | Sage Memorial Hospital Hwy 264 Ganado, AZ - 86505 |
Business Phone Number: | 9287554566 |
Business Fax Number: | 9287554567 |
Mailing Address: | Po Box 457, Sage Memorial Hospital GANADO |
State: | AZ |
Postal Code: | 86505 |
Phone Number: | 9287554566 |
Fax Number: | 9287554567 |
NPI Enumeration Date: | 09/23/2009 |
NPI Last Update Date: | 09/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4162 |
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 |