Provider Demographics
NPI:1366693517
Name:WILSON FITZPATRICK, SHERRY (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:WILSON FITZPATRICK
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 CENTRAL AVE STE A
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2452
Mailing Address - Country:US
Mailing Address - Phone:828-505-2999
Mailing Address - Fax:828-505-4886
Practice Address - Street 1:77 CENTRAL AVE STE A
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2452
Practice Address - Country:US
Practice Address - Phone:828-505-2999
Practice Address - Fax:828-505-4886
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2019-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3505235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist