Provider Demographics
NPI:1164611802
Name:FUCHS, SHERYL KAY
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:KAY
Last Name:FUCHS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHERYL
Other - Middle Name:KAY
Other - Last Name:BROSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 N MYRTLE ST
Mailing Address - Street 2:
Mailing Address - City:PIERCE CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65723-1124
Mailing Address - Country:US
Mailing Address - Phone:417-476-2555
Mailing Address - Fax:417-476-5213
Practice Address - Street 1:300 N MYRTLE ST
Practice Address - Street 2:PIERCE CITY R-VI
Practice Address - City:PIERCE CITY
Practice Address - State:MO
Practice Address - Zip Code:65723-1124
Practice Address - Country:US
Practice Address - Phone:417-476-2555
Practice Address - Fax:417-476-5213
Is Sole Proprietor?:No
Enumeration Date:2007-10-18
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO235Z00000X235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist