MEDICARE: MRS. SHERRIE HELEN STUMP MA, F-AAA

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	231H00000X	Audiologist	A-01316	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831193754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERRIE HELEN STUMP MA, F-AAA

Provider Business Mailing Address
First Line	:	1040 DELAWARE AVE
Second Line	:
City	:	MARION
State	:	OH
Zip	:	43302-6416
Country	:	US
Telephone Number	:	740-383-8060
Fax Number	:	740-383-7974

Provider Business Practice Location Address
First Line	:	1040 DELAWARE AVE
Second Line	:
City	:	MARION
State	:	OH
Zip	:	43302-6416
Country	:	US
Telephone Number	:	740-383-8060
Fax Number	:	740-383-7974

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	10/07/2014

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