MEDICARE: SHERYL KAY FUCHS

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	235Z00000X	MO

General Provider Information

NPI Number	:	1164611802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERYL KAY FUCHS

Provider Business Mailing Address
First Line	:	300 N MYRTLE ST
Second Line	:
City	:	PIERCE CITY
State	:	MO
Zip	:	65723-1124
Country	:	US
Telephone Number	:	417-476-2555
Fax Number	:	417-476-5213

Provider Business Practice Location Address
First Line	:	300 N MYRTLE ST
Second Line	:	PIERCE CITY R-VI
City	:	PIERCE CITY
State	:	MO
Zip	:	65723-1124
Country	:	US
Telephone Number	:	417-476-2555
Fax Number	:	417-476-5213

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

Provider Enumeration Date	:	10/18/2007
Last Update Date	:	02/19/2009

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Directions to “ SHERYL KAY FUCHS ” Practice Location

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