Provider Demographics
NPI:1013460666
Name:LONGEUAY, SHERI
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:
Last Name:LONGEUAY
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 1:3855 E LA PALMA AVE
Mailing Address - Street 2:SUITE 116
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-1729
Mailing Address - Country:US
Mailing Address - Phone:714-630-7800
Mailing Address - Fax:714-630-7803
Practice Address - Street 1:3855 E LA PALMA AVE
Practice Address - Street 2:SUITE 116
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-1729
Practice Address - Country:US
Practice Address - Phone:714-630-7800
Practice Address - Fax:714-630-7803
Is Sole Proprietor?:No
Enumeration Date:2016-08-01
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA8073237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist