Doctor Name: | MRS. CHERYL LYNN NORTHUP |
NPI Number: | 1770991234 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP6488 |
Business Practice Address: | 450 4th Ave Gallipolis, OH - 456311111 |
Business Phone Number: | 7404463213 |
Business Fax Number: | |
Mailing Address: | 3602 Neighborhood Rd, GALLIPOLIS |
State: | OH |
Postal Code: | 456318708 |
Phone Number: | 7404463375 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2014 |
NPI Last Update Date: | 07/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP6488 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |