Provider Demographics
NPI:1891833943
Name:POWERS, SHERRY CHRISTINA (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:CHRISTINA
Last Name:POWERS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 PAINE COMMONS
Mailing Address - Street 2:
Mailing Address - City:YAPHANK
Mailing Address - State:NY
Mailing Address - Zip Code:11980-2023
Mailing Address - Country:US
Mailing Address - Phone:631-775-0898
Mailing Address - Fax:
Practice Address - Street 1:23 PAINE COMMONS
Practice Address - Street 2:
Practice Address - City:YAPHANK
Practice Address - State:NY
Practice Address - Zip Code:11980-2023
Practice Address - Country:US
Practice Address - Phone:631-775-0898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011297-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist