Provider Demographics
NPI:1093872384
Name:CHEUNG, GARLENE (AUD)
Entity Type:Individual
Prefix:DR
First Name:GARLENE
Middle Name:
Last Name:CHEUNG
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 1:1800 BROADWAY ST STE 5
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-2044
Mailing Address - Country:US
Mailing Address - Phone:506-299-2977
Mailing Address - Fax:
Practice Address - Street 1:1800 BROADWAY ST STE 5
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-2044
Practice Address - Country:US
Practice Address - Phone:506-299-2977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA 2116231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist