Provider Demographics
NPI:1265694665
Name:SHERBIN, ANNE
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:SHERBIN
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 1:309 N GRATIOT AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT CLEMENS
Mailing Address - State:MI
Mailing Address - Zip Code:48043-5748
Mailing Address - Country:US
Mailing Address - Phone:586-463-5831
Mailing Address - Fax:586-463-4742
Practice Address - Street 1:13355 E 10 MILE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48089-2048
Practice Address - Country:US
Practice Address - Phone:586-758-5051
Practice Address - Fax:586-758-4423
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501001297237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter