Provider Demographics
NPI:1801070362
Name:SPADANO, SHERRI LYNN (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:LYNN
Last Name:SPADANO
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 1:35 MILLERS BROOK DR
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-6163
Mailing Address - Country:US
Mailing Address - Phone:401-475-1380
Mailing Address - Fax:
Practice Address - Street 1:1 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-2530
Practice Address - Country:US
Practice Address - Phone:508-266-6035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5975235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist