Provider Demographics
NPI:1841210911
Name:SHERRIS, CARI ANN (MED, CCC-A/SLP)
Entity Type:Individual
Prefix:
First Name:CARI
Middle Name:ANN
Last Name:SHERRIS
Suffix:
Gender:F
Credentials:MED, CCC-A/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9624 SAINT GEORGE CIR
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-8648
Mailing Address - Country:US
Mailing Address - Phone:907-696-5076
Mailing Address - Fax:
Practice Address - Street 1:AVAHSRO, 2925 DEBARR ROAD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-257-4920
Practice Address - Fax:907-257-4885
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000352231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist