Provider Demographics
NPI:1477241222
Name:REECE, CHERYL (SLP)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:REECE
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 1:965 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4057
Mailing Address - Country:US
Mailing Address - Phone:614-784-0400
Mailing Address - Fax:614-784-0401
Practice Address - Street 1:965 HIGH ST
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4057
Practice Address - Country:US
Practice Address - Phone:614-784-0400
Practice Address - Fax:614-784-0401
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-28
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP05204235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist