Doctor Name: | MISS SHERI JOY GLICK |
NPI Number: | 1417078502 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 1095 |
Business Practice Address: | 1 N Willard St Cottonwood, AZ - 863263651 |
Business Phone Number: | 9286342288 |
Business Fax Number: | |
Mailing Address: | 1266 S Settlers Cir E, COTTONWOOD |
State: | AZ |
Postal Code: | 863266154 |
Phone Number: | 5054804784 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 08/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1095 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
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 |