Provider Demographics
NPI:1871600296
Name:STRONACH, SHERI TRACY (PHD CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:SHERI
Middle Name:TRACY
Last Name:STRONACH
Suffix:
Gender:F
Credentials:PHD CCC-SLP
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:LOUISE
Other - Last Name:TRACY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:268 WILDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55110-1623
Mailing Address - Country:US
Mailing Address - Phone:608-334-1597
Mailing Address - Fax:
Practice Address - Street 1:268 WILDWOOD AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55110-1623
Practice Address - Country:US
Practice Address - Phone:608-334-1597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2782-154235Z00000X
MN488158235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist