Healthcare Provider Details

I. General information

NPI: 1457837627
Provider Name (Legal Business Name): SHERYL LYNN WIEDERMANN AU.D, CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERRI-LYNN WIEDERMANN AU.D., CCC-A

II. Dates (important events)

Enumeration Date: 07/11/2018
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5809 PRESTON RD STE 587
PLANO TX
75093-7361
US

IV. Provider business mailing address

4130 ABRAMS RD
DALLAS TX
75214-2607
US

V. Phone/Fax

Practice location:
  • Phone: 214-792-9949
  • Fax:
Mailing address:
  • Phone: 214-827-1900
  • Fax: 214-821-8106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number50971
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: