Provider Demographics
NPI:1497814529
Name:CRETCHER, TERESA LYNN (AUD)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:LYNN
Last Name:CRETCHER
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 1:145 WOODLEAF DR
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-6159
Mailing Address - Country:US
Mailing Address - Phone:407-617-3844
Mailing Address - Fax:407-320-3299
Practice Address - Street 1:12424 RESEARCH PKWY STE 155
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-3204
Practice Address - Country:US
Practice Address - Phone:407-249-4770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist