MEDICARE: SHERELLE M DUNCAN MA, 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	08362	MD

General Provider Information

NPI Number	:	1861967317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERELLE M DUNCAN MA, CCC-SLP

Provider Business Mailing Address
First Line	:	10014 N DALE MABRY HWY STE C-100
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-4426
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 NALLEY TER RM 20
Second Line	:
City	:	LANDOVER
State	:	MD
Zip	:	20785-4434
Country	:	US
Telephone Number	:	240-696-3210
Fax Number	:

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

Provider Enumeration Date	:	10/11/2018
Last Update Date	:	11/16/2021

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Directions to “ SHERELLE M DUNCAN MA, CCC-SLP” Practice Location

Language	Start Address	Practice Location

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