| Doctor Name: | MS. SHERWONNA EVETTE ANDERSON |
| NPI Number: | 1982910501 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CCC-SLP |
| License Number: | 12113685 |
| Business Practice Address: | 306 E 4th St Royal Oak, MI - 480672706 |
| Business Phone Number: | 2485440360 |
| Business Fax Number: | 2485440388 |
| Mailing Address: | 7369 Laurel Ct, WEST BLOOMFIELD |
| State: | MI |
| Postal Code: | 483222838 |
| Phone Number: | 2489906544 |
| Fax Number: | 2485920749 |
| NPI Enumeration Date: | 08/19/2010 |
| NPI Last Update Date: | 08/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 12113685 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| 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 |