Provider Demographics
NPI:1376880450
Name:CHERECWICH, BARBARA JEAN (AUD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:JEAN
Last Name:CHERECWICH
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 1:2007 BAY ST STE 100B
Mailing Address - Street 2:MORTON HOSPITAL A STEWARD FAMILY HOSPITAL SPEECH, HEARI
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-1099
Mailing Address - Country:US
Mailing Address - Phone:508-823-3050
Mailing Address - Fax:508-828-5858
Practice Address - Street 1:2007 BAY ST STE 100B
Practice Address - Street 2:MORTON HOSPITAL A STEWARD FAMILY HOSPITAL SPEECH, HEARI
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-1099
Practice Address - Country:US
Practice Address - Phone:508-823-3050
Practice Address - Fax:508-828-5858
Is Sole Proprietor?:No
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA38231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist