Provider Demographics
NPI:1518377332
Name:SCHIPP, SHERI (SLP-CCC)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:
Last Name:SCHIPP
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 WIGMORE LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-7784
Mailing Address - Country:US
Mailing Address - Phone:803-360-6485
Mailing Address - Fax:
Practice Address - Street 1:121 WIGMORE LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-7784
Practice Address - Country:US
Practice Address - Phone:803-360-6485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-01
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5392235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist