Individual
CHERYL F LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
10049 COURTHOUSE RD # RE, CHARLES CITY, VA 23030-3440
(804) 829-9256
Mailing address
3447 S HAIRPIN DR, QUINTON, VA 23141-1512
(937) 572-5649
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003274
VA
Other
Enumeration date
01/13/2017
Last updated
03/28/2023
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