MEDICARE: SHERILYN R PATTERSON MS

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
2	235Z00000X	Speech-Language Pathologist	2202008701	VA

General Provider Information

NPI Number	:	1871091231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERILYN R PATTERSON MS

Provider Business Mailing Address
First Line	:	221 STONEBRIDGE PLAZA AVE
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23225-6972
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 STONEBRIDGE PLAZA AVE
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23225-6972
Country	:	US
Telephone Number	:	804-378-6141
Fax Number	:

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

Provider Enumeration Date	:	01/31/2018
Last Update Date	:	11/02/2022

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Directions to “ SHERILYN R PATTERSON MS” Practice Location

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