Provider Demographics
NPI:1508931833
Name:TERRY, ANNE CHEEK (MAED CC SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:CHEEK
Last Name:TERRY
Suffix:
Gender:F
Credentials:MAED CC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MUIRFIELD COURT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27712-1052
Mailing Address - Country:US
Mailing Address - Phone:919-383-8866
Mailing Address - Fax:919-383-5447
Practice Address - Street 1:3101 G GUESS ROAD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2678
Practice Address - Country:US
Practice Address - Phone:919-818-8233
Practice Address - Fax:919-383-5447
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC373235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC017VHOtherBLUE CROSS BLUE SHIELD
NC7411951Medicaid