Provider Demographics
NPI:1780100149
Name:SCHIRMER, SHERI RENEE
Entity type:Individual
Prefix:PROF
First Name:SHERI
Middle Name:RENEE
Last Name:SCHIRMER
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 1:724 MILAN AVE
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:NE
Mailing Address - Zip Code:68869-1146
Mailing Address - Country:US
Mailing Address - Phone:308-380-4339
Mailing Address - Fax:
Practice Address - Street 1:76 PLAZA BLVD
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-4841
Practice Address - Country:US
Practice Address - Phone:308-237-5927
Practice Address - Fax:308-237-5920
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-17
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2017004245235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist