Provider Demographics
NPI:1740353234
Name:SKINNER, SHEILA E (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:E
Last Name:SKINNER
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 1:3800 RESERVOIR RD NW
Mailing Address - Street 2:PHYSICAL MEDICAL & REHABILITATION
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2113
Mailing Address - Country:US
Mailing Address - Phone:202-444-3696
Mailing Address - Fax:202-444-5333
Practice Address - Street 1:3800 RESERVOIR RD NW
Practice Address - Street 2:PHYSICAL MEDICAL & REHABILITATION
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-3696
Practice Address - Fax:202-444-5333
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD#04677235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist