Individual
MISS DEIDRE CHERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 SLATE BELT BLVD, BANGOR, PA 18013-9341
(610) 599-1454
Mailing address
701 SLATE BELT BLVD, BANGOR, PA 18013-9341
(610) 599-1454
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011298
PA
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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