Provider Demographics
NPI:1003132291
Name:QUINTY, CHERYL R
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:R
Last Name:QUINTY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:JEAN
Other - Last Name:REEDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP
Mailing Address - Street 1:111 PIN OAK CT
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-3910
Mailing Address - Country:US
Mailing Address - Phone:484-973-6601
Mailing Address - Fax:
Practice Address - Street 1:111 PIN OAK CT
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-3910
Practice Address - Country:US
Practice Address - Phone:484-973-6601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004248L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist