Provider Demographics
NPI:1497020994
Name:BARTOS, SHERYL GAINES (SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:GAINES
Last Name:BARTOS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 WINDING WAY
Mailing Address - Street 2:
Mailing Address - City:MERION STATION
Mailing Address - State:PA
Mailing Address - Zip Code:19066-1217
Mailing Address - Country:US
Mailing Address - Phone:610-667-6707
Mailing Address - Fax:
Practice Address - Street 1:239 WINDING WAY
Practice Address - Street 2:
Practice Address - City:MERION STATION
Practice Address - State:PA
Practice Address - Zip Code:19066-1217
Practice Address - Country:US
Practice Address - Phone:610-667-6707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL005108L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist