Healthcare Provider Details

I. General information

NPI: 1891556320
Provider Name (Legal Business Name): MS. SHERRI KATHLEEN SCHLEGEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. SHERRI KATHLEEN SCHLEGEL

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 01/22/2024
Certification Date: 01/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 N LINCOLN ST STE A
DIXON CA
95620-3238
US

IV. Provider business mailing address

255 N LINCOLN ST STE A
DIXON CA
95620-3238
US

V. Phone/Fax

Practice location:
  • Phone: 707-366-5246
  • Fax:
Mailing address:
  • Phone: 707-366-5246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number7334
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: