Provider Demographics
NPI:1013190107
Name:OBER, CHERYL M (AUD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:M
Last Name:OBER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3200 W MARKET ST
Mailing Address - Street 2:#108
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3335
Mailing Address - Country:US
Mailing Address - Phone:330-869-9911
Mailing Address - Fax:330-869-9780
Practice Address - Street 1:3200 W MARKET ST
Practice Address - Street 2:#108
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3335
Practice Address - Country:US
Practice Address - Phone:330-869-9911
Practice Address - Fax:330-869-9780
Is Sole Proprietor?:No
Enumeration Date:2007-12-11
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA0119231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHOB4023212Medicare PIN