Provider Demographics
NPI:1639573488
Name:DAIL, SHERRIE MICHELE (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SHERRIE
Middle Name:MICHELE
Last Name:DAIL
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 1:9210 LEIGH CHOICE CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-6323
Mailing Address - Country:US
Mailing Address - Phone:443-845-8639
Mailing Address - Fax:
Practice Address - Street 1:9210 LEIGH CHOICE CT
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-6323
Practice Address - Country:US
Practice Address - Phone:443-845-8639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04271235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist