Provider Demographics
NPI:1871681791
Name:VAN GELDEREN, SHERI YAMASHITA (MA, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:YAMASHITA
Last Name:VAN GELDEREN
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:MS
Other - First Name:SHERI
Other - Middle Name:TERUKO
Other - Last Name:YAMASHITA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD, CCC-A
Mailing Address - Street 1:1509 N KENNICOTT AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3601
Mailing Address - Country:US
Mailing Address - Phone:847-818-8460
Mailing Address - Fax:
Practice Address - Street 1:8780 W GOLF RD
Practice Address - Street 2:SUITE 200
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-5602
Practice Address - Country:US
Practice Address - Phone:847-824-4390
Practice Address - Fax:847-824-1712
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147-000833231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist