Provider Demographics
NPI:1629555925
Name:OLSEN, SHEEREEN JESSEL (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHEEREEN
Middle Name:JESSEL
Last Name:OLSEN
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Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:13400 S ROUTE 59 STE 116-326
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-5696
Mailing Address - Country:US
Mailing Address - Phone:815-267-7334
Mailing Address - Fax:630-429-9411
Practice Address - Street 1:13400 S ROUTE 59 STE 116-326
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-5826
Practice Address - Country:US
Practice Address - Phone:815-267-7334
Practice Address - Fax:630-429-9411
Is Sole Proprietor?:No
Enumeration Date:2018-07-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL146.014984235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist