Provider Demographics
NPI:1528391844
Name:CASH, CHARLEY J (HAD)
Entity Type:Individual
Prefix:MR
First Name:CHARLEY
Middle Name:J
Last Name:CASH
Suffix:
Gender:M
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3526 OSBORNE LN STE D
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47909-3998
Mailing Address - Country:US
Mailing Address - Phone:765-471-2111
Mailing Address - Fax:765-471-2112
Practice Address - Street 1:3526 OSBORNE LN STE D
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47909-3998
Practice Address - Country:US
Practice Address - Phone:765-471-2111
Practice Address - Fax:765-471-2112
Is Sole Proprietor?:No
Enumeration Date:2009-09-18
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001329A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist