Provider Demographics
NPI:1700028941
Name:VERHEEK, SHARON MARGARET (MS CCC-SLP CBIS)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:MARGARET
Last Name:VERHEEK
Suffix:
Gender:F
Credentials:MS CCC-SLP CBIS
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:MARGARET
Other - Last Name:BUEHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:1490 E BELTLINE AVE SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49506-4336
Mailing Address - Country:US
Mailing Address - Phone:616-940-0040
Mailing Address - Fax:616-940-8151
Practice Address - Street 1:1490 E BELTLINE AVE SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506-4336
Practice Address - Country:US
Practice Address - Phone:616-940-0040
Practice Address - Fax:616-940-8151
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI09129944235Z00000X
MI7101000679235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist