Provider Demographics
NPI:1578847067
Name:CADMUS, CHERYL W (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:W
Last Name:CADMUS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 W CENTER ST
Mailing Address - Street 2:#23
Mailing Address - City:WEST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379-1633
Mailing Address - Country:US
Mailing Address - Phone:508-559-7757
Mailing Address - Fax:508-378-3840
Practice Address - Street 1:234 W CENTER ST
Practice Address - Street 2:#23
Practice Address - City:WEST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02379-1633
Practice Address - Country:US
Practice Address - Phone:508-559-7757
Practice Address - Fax:508-378-3840
Is Sole Proprietor?:No
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist