Pedersen, Virginia Sheryl
Pedersen, Virginia Sheryl is an individual health care provider with primary practice located at Navajo Rt 12 Window Rock Unified School District, Ft Defiance AZ 86504. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Pedersen, Virginia Sheryl can be contacted via phone (928) 729-6757.Contact Information
Primary practice address
Navajo Rt 12 Window Rock Unified School District
Ft Defiance AZ 86504
Phone: (928) 729-6757
Fax: (928) 524-6367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP5025 | Arizona |
Profile Details
| NPI number | 1932261096 |
|---|---|
| LBN Legal business name | Pedersen, Virginia Sheryl |
| Credentials | M.S. SLP-CCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932261096 | NPPES |
| Arizona | MEDICAID | 119272 |
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