Provider Demographics
NPI:1265816938
Name:EPPERSON, SHEILA ANNE (CCC/SLP)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:ANNE
Last Name:EPPERSON
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 HIGHLAND DR
Mailing Address - Street 2:ARGYLL ESTATES
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-9439
Mailing Address - Country:US
Mailing Address - Phone:606-260-3888
Mailing Address - Fax:
Practice Address - Street 1:102 HIGHLAND DR
Practice Address - Street 2:ARGYLL ESTATES
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-9439
Practice Address - Country:US
Practice Address - Phone:606-260-3888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1284235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist