Provider Demographics
NPI:1326383779
Name:OGLE, CHERIE HAYWOOD
Entity Type:Individual
Prefix:MRS
First Name:CHERIE
Middle Name:HAYWOOD
Last Name:OGLE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CHERIE
Other - Middle Name:THERESA
Other - Last Name:HAYWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:8402 CRUIT ISLE
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3478
Mailing Address - Country:US
Mailing Address - Phone:504-417-1440
Mailing Address - Fax:
Practice Address - Street 1:8402 CRUIT ISLE
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3478
Practice Address - Country:US
Practice Address - Phone:504-417-1440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102307235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist