Provider Demographics
NPI:1588898928
Name:KATCHUR, SHERI MALLOY (MS-SLP)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:MALLOY
Last Name:KATCHUR
Suffix:
Gender:F
Credentials:MS-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3418 JUSTINIAN
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-8628
Mailing Address - Country:US
Mailing Address - Phone:502-592-8814
Mailing Address - Fax:812-284-5842
Practice Address - Street 1:3418 JUSTINIAN
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-8628
Practice Address - Country:US
Practice Address - Phone:502-592-8814
Practice Address - Fax:812-284-5842
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN46001944A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist