Healthcare Provider Details

I. General information

NPI: 1982800868
Provider Name (Legal Business Name): EMILY ELIZABETH SHERER M.A., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 TURNBURY DR
GREENVILLE NC
27858-6168
US

IV. Provider business mailing address

232 N VIRGINIA AVE APT D
BRIDGEPORT WV
26330-1489
US

V. Phone/Fax

Practice location:
  • Phone: 252-341-9944
  • Fax:
Mailing address:
  • Phone: 828-894-6539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number36841
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1319
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP012264
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2023030407
License Number StateMO
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number13353
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number17468
License Number StateOR
# 7
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146.016959
License Number StateIL
# 8
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3311
License Number StateSC
# 9
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202002075
License Number StateVA
# 10
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3311
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: