Provider Demographics
NPI:1902239585
Name:SCHERRER, JAN M (MS CCC)
Entity Type:Individual
Prefix:
First Name:JAN
Middle Name:M
Last Name:SCHERRER
Suffix:
Gender:F
Credentials:MS CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 GLENHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-9408
Mailing Address - Country:US
Mailing Address - Phone:859-422-7699
Mailing Address - Fax:
Practice Address - Street 1:10 GLENHAVEN RD
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383-9408
Practice Address - Country:US
Practice Address - Phone:859-422-7699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-19
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1179235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist