Provider Demographics
NPI:1881723377
Name:MORRISON-DOKE, SHARON ELIZABETH (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:ELIZABETH
Last Name:MORRISON-DOKE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:935 E WINDING CREEK DR STE 120
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-7242
Mailing Address - Country:US
Mailing Address - Phone:208-938-4748
Mailing Address - Fax:208-938-1710
Practice Address - Street 1:935 E WINDING CREEK DR STE 120
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616
Practice Address - Country:US
Practice Address - Phone:208-938-4748
Practice Address - Fax:208-938-1710
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDSLP-1353235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist