Provider Demographics
NPI:1457661944
Name:MCFERRON, SHELIA GAIL (MA/CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SHELIA
Middle Name:GAIL
Last Name:MCFERRON
Suffix:
Gender:F
Credentials:MA/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 OLD SOMERSET ROAD
Mailing Address - Street 2:
Mailing Address - City:MT.VERNON
Mailing Address - State:KY
Mailing Address - Zip Code:40456-2801
Mailing Address - Country:US
Mailing Address - Phone:606-308-3279
Mailing Address - Fax:606-256-3120
Practice Address - Street 1:515 OLD SOMERSET ROAD
Practice Address - Street 2:
Practice Address - City:MT.VERNON
Practice Address - State:KY
Practice Address - Zip Code:40456-2801
Practice Address - Country:US
Practice Address - Phone:606-308-3270
Practice Address - Fax:606-256-3120
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-1704235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist