Provider Demographics
NPI:1750884904
Name:MERKORD, SHARI
Entity type:Individual
Prefix:
First Name:SHARI
Middle Name:
Last Name:MERKORD
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 1:401 MCINTIRE RD RM 323
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-4579
Mailing Address - Country:US
Mailing Address - Phone:804-310-7535
Mailing Address - Fax:
Practice Address - Street 1:401 MCINTIRE RD RM 323
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-4579
Practice Address - Country:US
Practice Address - Phone:804-310-7535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2203000470235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist