Most Relevant Information
Provider Data
| NPI Number: | 1003512823 |
| Provider Name: | MARYELLEN SHERROD |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 101248 |
Most Important Dates
| Enumeration Date: | 02/02/2023 |
| Last Updated: | 02/02/2023 |
Provider Practice Location
1006 MCKINNEY LOOP
BLANCO
TX
786065147
Practice Location Phone/Fax
| Phone: | 5127852216 |
| Fax: |
Provider Mailing Location
1006 MCKINNEY LOOP
BLANCO
TX
786065147
Provider Mailing Phone/Fax
| Phone: | 5127852216 |
| Fax: |