Doctor Name: | MS. STEPHANIE NOELLE CHEELY |
NPI Number: | 1780628933 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,CCC-SLP/L |
License Number: | 2202004731 |
Business Practice Address: | 12882 Patrick Henry Hwy Amelia Wellness And Rehabilitation Amelia, VA - 230023929 |
Business Phone Number: | 8045611617 |
Business Fax Number: | |
Mailing Address: | 5799 Cellar Creek Rd, BLACKSTONE |
State: | VA |
Postal Code: | 23824 |
Phone Number: | 8045611617 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 04/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202004731 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |