MEDICARE: SHERRI SIMPSON

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	SP 4089	OH
2	235Z00000X	Speech-Language Pathologist	SLP-0187	WV

General Provider Information

NPI Number	:	1538269550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRI SIMPSON

Provider Business Mailing Address
First Line	:	4810 OHIO RIVER ROAD
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25702
Country	:	US
Telephone Number	:	304-412-0358
Fax Number	:	304-736-5438

Provider Business Practice Location Address
First Line	:	4810 OHIO RIVER ROAD
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25702
Country	:	US
Telephone Number	:	304-412-0358
Fax Number	:	304-736-5438

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

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	11/07/2024

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Directions to “ SHERRI SIMPSON ” Practice Location

Language	Start Address	Practice Location

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