Provider Demographics
NPI:1154637809
Name:COLEY, SHERRILL QUINN (MS, CCC-A)
Entity Type:Individual
Prefix:
First Name:SHERRILL
Middle Name:QUINN
Last Name:COLEY
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2716 GOLDMOR CIR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1922
Mailing Address - Country:US
Mailing Address - Phone:205-602-2401
Mailing Address - Fax:
Practice Address - Street 1:931 SHARIT AVE
Practice Address - Street 2:STE.101
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-5003
Practice Address - Country:US
Practice Address - Phone:205-631-8116
Practice Address - Fax:205-631-8114
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-19
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1058A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist