Individual
SIDNEY JESSICA SORRELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-CCC
Contact information
Practice address
6223 SLATER ST, MERRIAM, KS 66202-2848
(913) 620-1007
Mailing address
8111 QUIVIRA RD APT 12201, LENEXA, KS 66215-2774
(847) 347-8102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5108
IA
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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