Individual
MRS. CHERIE MARIE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP, CCC, M.A.
Contact information
Practice address
678 WOODBURNE RD, LEWISBERRY, PA 17339-9334
(717) 506-0672
Mailing address
678 WOODBURNE RD, LEWISBERRY, PA 17339-9334
(717) 506-0672
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL-006192-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000027140003
—
PA
Enumeration date
01/15/2007
Last updated
07/09/2007
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