Provider Demographics
NPI:1346791118
Name:HAYES, CHERYL EILEEN (RD, LDN, CLT)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:EILEEN
Last Name:HAYES
Suffix:
Gender:F
Credentials:RD, LDN, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 MACKENZIE WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-5338
Mailing Address - Country:US
Mailing Address - Phone:724-720-9337
Mailing Address - Fax:
Practice Address - Street 1:2009 MACKENZIE WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-5338
Practice Address - Country:US
Practice Address - Phone:724-720-9337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX725355133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered