Provider Demographics
NPI:1982112710
Name:SHERFY, MICHELLE WALKER (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:WALKER
Last Name:SHERFY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:MARIE
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 DUNLAP RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:VA
Mailing Address - Zip Code:24084-3051
Mailing Address - Country:US
Mailing Address - Phone:540-643-0732
Mailing Address - Fax:540-643-0733
Practice Address - Street 1:600 DUNLAP RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:VA
Practice Address - Zip Code:24084-3051
Practice Address - Country:US
Practice Address - Phone:540-643-0732
Practice Address - Fax:540-643-0733
Is Sole Proprietor?:No
Enumeration Date:2018-01-15
Last Update Date:2018-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202007368235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist