Provider Demographics
NPI:1790963437
Name:FOLDVARY, SHERRY LEE
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:LEE
Last Name:FOLDVARY
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 1:7760 JAYDEE CIR
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-1260
Mailing Address - Country:US
Mailing Address - Phone:818-353-8848
Mailing Address - Fax:
Practice Address - Street 1:7760 JAYDEE CIR
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-1260
Practice Address - Country:US
Practice Address - Phone:818-353-8848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6073235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist