Provider Demographics
NPI:1003117789
Name:KERR, SHIRNETT (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHIRNETT
Middle Name:
Last Name:KERR
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:SHIRNETT
Other - Middle Name:
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:927 JAMESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-5606
Mailing Address - Country:US
Mailing Address - Phone:609-448-0926
Mailing Address - Fax:
Practice Address - Street 1:927 JAMESTOWN RD
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-5606
Practice Address - Country:US
Practice Address - Phone:609-448-0926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL010180235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist