Provider Demographics
NPI:1922423813
Name:SHERARD, BARBARA J
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:SHERARD
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 1:7215 COMMONS CIR STE C
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-2644
Mailing Address - Country:US
Mailing Address - Phone:307-637-7415
Mailing Address - Fax:307-514-6353
Practice Address - Street 1:7215 COMMONS CIR STE C
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-2644
Practice Address - Country:US
Practice Address - Phone:307-637-7415
Practice Address - Fax:307-514-6353
Is Sole Proprietor?:No
Enumeration Date:2014-02-28
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY183T237700000X
WY183237700000X
NE798237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist