Provider Demographics
NPI:1053626580
Name:BELL, SHERRY M (SLP)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:M
Last Name:BELL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MRS
Other - First Name:SHERRY
Other - Middle Name:BELL
Other - Last Name:DAGROSA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP
Mailing Address - Street 1:370 CENTRAL PARK W
Mailing Address - Street 2:APARTMENT 404
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6549
Mailing Address - Country:US
Mailing Address - Phone:212-866-1166
Mailing Address - Fax:
Practice Address - Street 1:370 CENTRAL PARK W
Practice Address - Street 2:APARTMENT 404
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6549
Practice Address - Country:US
Practice Address - Phone:212-866-1166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1797235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist