Provider Demographics
NPI:1134126634
Name:RHODES, CHERYL L (AUD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:L
Last Name:RHODES
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 1:1242 HOCKMAN PIKE
Mailing Address - Street 2:
Mailing Address - City:BLUEFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24605-9351
Mailing Address - Country:US
Mailing Address - Phone:276-245-6741
Mailing Address - Fax:
Practice Address - Street 1:1242 HOCKMAN PIKE
Practice Address - Street 2:
Practice Address - City:BLUEFIELD
Practice Address - State:VA
Practice Address - Zip Code:24605-9351
Practice Address - Country:US
Practice Address - Phone:276-326-3890
Practice Address - Fax:276-322-1514
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-30
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001263231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVQ37376AOtherMEDICARE
VA006475A49Medicare ID - Type UnspecifiedAUDIOLOGIST