Provider Demographics
NPI:1497961080
Name:VALDES, CHERYL L (MS CCC-A)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:VALDES
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12120 ROUTE 30
Mailing Address - Street 2:NORWIN TOWNE SQUARE
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-1840
Mailing Address - Country:US
Mailing Address - Phone:724-861-4853
Mailing Address - Fax:
Practice Address - Street 1:12120 ROUTE 30
Practice Address - Street 2:NORWIN TOWNE SQUARE
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-1840
Practice Address - Country:US
Practice Address - Phone:724-861-4853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT-000882L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist