Individual
MS. CARRIE LYNN SHERRETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
2229 PANAMA ST, PHILADELPHIA, PA 19103-6525
(215) 732-4006
Mailing address
2229 PANAMA ST, PHILADELPHIA, PA 19103-6525
(215) 732-4006
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL003092L
PA
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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