Basic Information
Provider Information
NPI: 1093915167
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARMENDARIZ
FirstName: SHERI
MiddleName: DAWN
NamePrefix: MRS.
NameSuffix:  
Credential: M.S., CCC-SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1040 WISTERIA DR
Address2:  
City: LOVELAND
State: CO
PostalCode: 805384658
CountryCode: US
TelephoneNumber: 9706678232
FaxNumber:  
Practice Location
Address1: 7540 N 19TH AVE
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850217967
CountryCode: US
TelephoneNumber: 8888734221
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/18/2007
LastUpdateDate: 07/18/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X  Y Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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