Doctor Name: | MRS. JOLON THERESA SHERIN |
NPI Number: | 1558512772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | SL008494 |
Business Practice Address: | 1825 Sans Souci Highway Hanover, PA - 18704 |
Business Phone Number: | 5708258725 |
Business Fax Number: | |
Mailing Address: | 14 Gable Crest Dr, PITTSTON |
State: | PA |
Postal Code: | 186409663 |
Phone Number: | 5704460004 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2008 |
NPI Last Update Date: | 10/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL008494 |
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 |