Individual
MRS. CHERYL L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPL
Contact information
Practice address
2010 ADAMS AVE, SCRANTON, PA 18509-1508
(570) 963-1278
(570) 963-1292
Mailing address
2010 ADAMS AVE, SCRANTON, PA 18509-1599
(570) 963-1278
(570) 963-1292
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL001306L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017604690002
—
PA
Enumeration date
10/02/2006
Last updated
10/07/2010
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