Doctor Name: | DR. KYLA COOPER SHERRARD |
NPI Number: | 1619215266 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., CCC-SLP |
License Number: | 12571 |
Business Practice Address: | 2401 S 31st St Ms09-c400c Temple, TX - 765084909 |
Business Phone Number: | 2547244749 |
Business Fax Number: | 2547244631 |
Mailing Address: | 2401 S 31st St, Ms09-c400c TEMPLE |
State: | TX |
Postal Code: | 765084909 |
Phone Number: | 2547244749 |
Fax Number: | 2547244631 |
NPI Enumeration Date: | 01/16/2013 |
NPI Last Update Date: | 01/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |