Provider Demographics
NPI:1831265248
Name:WEINER, SHERI ELLEN (AUD)
Entity type:Individual
Prefix:DR
First Name:SHERI
Middle Name:ELLEN
Last Name:WEINER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 WF RUST CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-4428
Mailing Address - Country:US
Mailing Address - Phone:615-934-6150
Mailing Address - Fax:615-646-5071
Practice Address - Street 1:125 CRESTVIEW PARK DRIVE
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055
Practice Address - Country:US
Practice Address - Phone:615-934-6150
Practice Address - Fax:615-646-5071
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA000089231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3192486Medicare ID - Type Unspecified
TNNPP000Medicare UPIN