Provider Demographics
NPI:1407971948
Name:SHOEMAKER, SHERYL STOKES (AUD)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:STOKES
Last Name:SHOEMAKER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 FULLER RD
Mailing Address - Street 2:
Mailing Address - City:DUBACH
Mailing Address - State:LA
Mailing Address - Zip Code:71235-2304
Mailing Address - Country:US
Mailing Address - Phone:318-777-8009
Mailing Address - Fax:
Practice Address - Street 1:306 ROBINSON HALL
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71272-0001
Practice Address - Country:US
Practice Address - Phone:318-257-4764
Practice Address - Fax:318-257-4492
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3491231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist