Individual
JACQUEL CHEATHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
12890 OLD MERIDIAN ST APT 148, CARMEL, IN 46032-8899
(317) 660-5127
Mailing address
12890 OLD MERIDIAN ST APT 148, CARMEL, IN 46032-8899
(219) 201-2785
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1666
HI
235Z00000X
Speech-Language Pathologist
Primary
22005866A
IN
235Z00000X
Speech-Language Pathologist
2202006802
VA
235Z00000X
Speech-Language Pathologist
26515
CA
Other
Enumeration date
08/10/2012
Last updated
06/30/2022
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