Provider Demographics
NPI:1043877921
Name:DUCEY, CHERYL HECK (SLP-CCC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:HECK
Last Name:DUCEY
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 BOB WHITE RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-1702
Mailing Address - Country:US
Mailing Address - Phone:912-844-3729
Mailing Address - Fax:
Practice Address - Street 1:131 CANAL ST
Practice Address - Street 2:
Practice Address - City:POOLER
Practice Address - State:GA
Practice Address - Zip Code:31322-6018
Practice Address - Country:US
Practice Address - Phone:912-988-3181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-25
Last Update Date:2019-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA008977235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist