MEDICARE: MS. DELPHINE LOUISE SHERIN MA - CCC - SLP

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	SP623	ME

General Provider Information

NPI Number	:	1366719726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DELPHINE LOUISE SHERIN MA - CCC - SLP

Provider Business Mailing Address
First Line	:	156 RAZORVILLE RD
Second Line	:
City	:	WASHINGTON
State	:	ME
Zip	:	04574-3816
Country	:	US
Telephone Number	:	207-701-1304
Fax Number	:

Provider Business Practice Location Address
First Line	:	156 RAZORVILLE RD
Second Line	:
City	:	WASHINGTON
State	:	ME
Zip	:	04574-3816
Country	:	US
Telephone Number	:	207-701-1304
Fax Number	:

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

Provider Enumeration Date	:	11/29/2011
Last Update Date	:	11/29/2011

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Directions to “ MS. DELPHINE LOUISE SHERIN MA - CCC - SLP” Practice Location

Language	Start Address	Practice Location

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