Provider Demographics
NPI:1508297433
Name:SHERVIN, CHERI
Entity Type:Individual
Prefix:MRS
First Name:CHERI
Middle Name:
Last Name:SHERVIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5059 SEDGWICK ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-1939
Mailing Address - Country:US
Mailing Address - Phone:202-425-5299
Mailing Address - Fax:
Practice Address - Street 1:5059 SEDGWICK ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-1939
Practice Address - Country:US
Practice Address - Phone:202-425-5299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0007L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist