Doctor Name: | SHERILYN GEORGE |
NPI Number: | 1770958910 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4169 |
Business Practice Address: | 709 University Ave W Saint Paul, MN - 551044804 |
Business Phone Number: | 6512322414 |
Business Fax Number: | |
Mailing Address: | 709 University Ave W, SAINT PAUL |
State: | MN |
Postal Code: | 551044804 |
Phone Number: | 6512322414 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2015 |
NPI Last Update Date: | 12/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4169 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
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 |