Individual
MRS. SHERRY A SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
289 JEFFERSON AVE, POCATELLO, ID 83201-3922
(208) 233-5600
(208) 233-5800
Mailing address
1592 N 775 E, SHELLEY, ID 83274-5063
(208) 357-0825
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD-1219
ID
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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