Doctor Name: | MRS. SHERRY L RIEDEL |
NPI Number: | 1376779884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | |
Business Practice Address: | 1001 Laurence Ave Suite B Jackson, MI - 492022979 |
Business Phone Number: | 5177504777 |
Business Fax Number: | 5177824717 |
Mailing Address: | 1001 Laurence Ave, Suite B JACKSON |
State: | MI |
Postal Code: | 492022979 |
Phone Number: | 5177504777 |
Fax Number: | 5177824717 |
NPI Enumeration Date: | 06/10/2009 |
NPI Last Update Date: | 06/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |