Individual
SCHERYIAH J SOUTHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
PO BOX 278, CAPITAN, NM 88316-0278
(575) 354-8500
Mailing address
PO BOX 1572, CAPITAN, NM 88316-1572
(575) 973-8220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
09/17/2024
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