Provider Demographics
NPI:1821365164
Name:SAUTER, SHARI ANN (CCC-L/SLP)
Entity type:Individual
Prefix:
First Name:SHARI
Middle Name:ANN
Last Name:SAUTER
Suffix:
Gender:F
Credentials:CCC-L/SLP
Other - Prefix:
Other - First Name:SHARI
Other - Middle Name:ANN
Other - Last Name:SHEPARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-L/SLP
Mailing Address - Street 1:245 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12122
Mailing Address - Country:US
Mailing Address - Phone:518-827-3600
Mailing Address - Fax:
Practice Address - Street 1:245 MAIN STREET
Practice Address - Street 2:
Practice Address - City:MIDDLEBURGH
Practice Address - State:NY
Practice Address - Zip Code:12122
Practice Address - Country:US
Practice Address - Phone:518-827-3600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004722-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist