Provider Demographics
NPI:1043702541
Name:FOURIE, CHERE (AUD)
Entity Type:Individual
Prefix:DR
First Name:CHERE
Middle Name:
Last Name:FOURIE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 KING BLVD
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-3165
Mailing Address - Country:US
Mailing Address - Phone:307-577-4240
Mailing Address - Fax:
Practice Address - Street 1:2210 KING BLVD
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82604
Practice Address - Country:US
Practice Address - Phone:307-577-4240
Practice Address - Fax:307-577-0012
Is Sole Proprietor?:No
Enumeration Date:2018-05-31
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist