Healthcare Provider Details

I. General information

NPI: 1801704747
Provider Name (Legal Business Name): PERRI SHOEMAKER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7311 ROSEDALE HWY
BAKERSFIELD CA
93308-5738
US

IV. Provider business mailing address

10905 POLO DR
BAKERSFIELD CA
93312-4133
US

V. Phone/Fax

Practice location:
  • Phone: 661-589-3830
  • Fax:
Mailing address:
  • Phone: 661-304-3274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number34430
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: