Provider Demographics
NPI:1366678617
Name:RIGDON, CHERYL DAVIS (MSP CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:DAVIS
Last Name:RIGDON
Suffix:
Gender:F
Credentials:MSP CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:4501 OLD SPARTANBURG RD
Mailing Address - Street 2:
Mailing Address - City:TAYLORS
Mailing Address - State:SC
Mailing Address - Zip Code:29687-4105
Mailing Address - Country:US
Mailing Address - Phone:864-244-3476
Mailing Address - Fax:864-244-3475
Practice Address - Street 1:4501 OLD SPARTANBURG RD
Practice Address - Street 2:
Practice Address - City:TAYLORS
Practice Address - State:SC
Practice Address - Zip Code:29687-4105
Practice Address - Country:US
Practice Address - Phone:864-244-3476
Practice Address - Fax:864-244-3475
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4186235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist