MEDICARE: MS. SHERILYNNE MARGUERITE DI PAOLO MS., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	20173	CA

General Provider Information

NPI Number	:	1477993640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHERILYNNE MARGUERITE DI PAOLO MS., CCC-SLP

Provider Business Mailing Address
First Line	:	1601 DEL VALLE AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91208-2058
Country	:	US
Telephone Number	:	818-929-5019
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 DEL VALLE AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91208-2058
Country	:	US
Telephone Number	:	818-929-5019
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2013
Last Update Date	:	07/02/2013

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Directions to “ MS. SHERILYNNE MARGUERITE DI PAOLO MS., CCC-SLP” Practice Location

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