Provider Demographics
NPI:1841594181
Name:GARY, SHARON HELO (MA)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:HELO
Last Name:GARY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 FLAGSTONE CT
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-5973
Mailing Address - Country:US
Mailing Address - Phone:337-534-4305
Mailing Address - Fax:
Practice Address - Street 1:112 FLAGSTONE CT
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-5973
Practice Address - Country:US
Practice Address - Phone:337-534-4305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-30
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA629235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist