Provider Demographics
NPI:1154635142
Name:PRAIRIE, SHARON ANN (MA)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:PRAIRIE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 ZENOBIA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-1551
Mailing Address - Country:US
Mailing Address - Phone:303-875-8378
Mailing Address - Fax:
Practice Address - Street 1:2940 ZENOBIA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-1551
Practice Address - Country:US
Practice Address - Phone:303-875-8378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-02
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist