Provider Demographics
NPI:1104040286
Name:PILCHER, SHERRI (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:
Last Name:PILCHER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13857 CREEKSIDE PL
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-3553
Mailing Address - Country:US
Mailing Address - Phone:479-981-0359
Mailing Address - Fax:
Practice Address - Street 1:13857 CREEKSIDE PL
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-3553
Practice Address - Country:US
Practice Address - Phone:479-981-0359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107553235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR136079721Medicaid