Provider Demographics
NPI:1902575038
Name:PURCELL, SHERYLL (MS, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:SHERYLL
Middle Name:
Last Name:PURCELL
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5309 CARRINGTON CT
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-1442
Mailing Address - Country:US
Mailing Address - Phone:432-556-7673
Mailing Address - Fax:
Practice Address - Street 1:615 W MISSOURI AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-5092
Practice Address - Country:US
Practice Address - Phone:432-240-1468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-11
Last Update Date:2021-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist