Provider Demographics
NPI:1396888632
Name:HOWARD, SHERRIL R (MS,CCC-SLP)
Entity type:Individual
Prefix:
First Name:SHERRIL
Middle Name:R
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6567 E CARONDELET DR
Mailing Address - Street 2:SUITE 515
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-2156
Mailing Address - Country:US
Mailing Address - Phone:520-721-4544
Mailing Address - Fax:520-886-8025
Practice Address - Street 1:6567 E CARONDELET DR
Practice Address - Street 2:SUITE 515
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-2156
Practice Address - Country:US
Practice Address - Phone:520-721-4544
Practice Address - Fax:520-886-8025
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP0305235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist