Provider Demographics
NPI:1417226192
Name:ALLGRUNN, SHERRIE (SLPMACCC)
Entity Type:Individual
Prefix:
First Name:SHERRIE
Middle Name:
Last Name:ALLGRUNN
Suffix:
Gender:F
Credentials:SLPMACCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 S CRAWFORD RD
Mailing Address - Street 2:
Mailing Address - City:VERMILLION
Mailing Address - State:SD
Mailing Address - Zip Code:57069-3458
Mailing Address - Country:US
Mailing Address - Phone:605-675-9549
Mailing Address - Fax:
Practice Address - Street 1:600 S. FRANKLIN STREET
Practice Address - Street 2:
Practice Address - City:ELK POINT
Practice Address - State:SD
Practice Address - Zip Code:57025
Practice Address - Country:US
Practice Address - Phone:605-356-2622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-24
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002002235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist