Provider Demographics
NPI:1164049813
Name:ARLINE, CHERYL PATRICE (SLP)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:PATRICE
Last Name:ARLINE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9330 E DAFFODIL LN
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-2663
Mailing Address - Country:US
Mailing Address - Phone:786-916-1254
Mailing Address - Fax:
Practice Address - Street 1:9330 E DAFFODIL LN
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-2663
Practice Address - Country:US
Practice Address - Phone:786-916-1254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-29
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA19956235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist