Provider Demographics
NPI:1346375995
Name:RUSHER, SHEILA J (MHS)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:J
Last Name:RUSHER
Suffix:
Gender:F
Credentials:MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 KWIX RD
Mailing Address - Street 2:
Mailing Address - City:MOBERLY
Mailing Address - State:MO
Mailing Address - Zip Code:65270-3813
Mailing Address - Country:US
Mailing Address - Phone:660-269-2690
Mailing Address - Fax:600-269-2611
Practice Address - Street 1:926 KWIX RD
Practice Address - Street 2:MOBERLY PUBLIC SCHOOLS
Practice Address - City:MOBERLY
Practice Address - State:MO
Practice Address - Zip Code:65270-3813
Practice Address - Country:US
Practice Address - Phone:660-269-2690
Practice Address - Fax:600-269-2611
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO109118235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO463673806Medicaid