Individual
CHERYL LAUREN CERICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-TEMPORARY
Contact information
Practice address
3421 E CONSTANCE WAY, PHOENIX, AZ 85042-0012
(856) 816-7181
Mailing address
4802 N 30TH PL, PHOENIX, AZ 85016-5010
(497) 021-4489
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA14460
AZ
235Z00000X
Speech-Language Pathologist
Primary
TSLP14460
AZ
Other
Enumeration date
02/27/2024
Last updated
06/11/2024
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