Provider Demographics
NPI:1114296647
Name:MURPHY, SHERAE REYNOLDS (MS,CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHERAE
Middle Name:REYNOLDS
Last Name:MURPHY
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 1:141 SUNNY LN
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-3143
Mailing Address - Country:US
Mailing Address - Phone:606-213-5590
Mailing Address - Fax:
Practice Address - Street 1:141 SUNNY LN
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-3143
Practice Address - Country:US
Practice Address - Phone:606-213-5590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-2741235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist