Provider Demographics
NPI:1689305187
Name:WORTHY, CHERYL ELIZABETH (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ELIZABETH
Last Name:WORTHY
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 1:110 GREENLAWN DR NE
Mailing Address - Street 2:
Mailing Address - City:MERIDIANVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35759-2512
Mailing Address - Country:US
Mailing Address - Phone:256-797-4844
Mailing Address - Fax:
Practice Address - Street 1:9280 SW 81ST CT
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-7848
Practice Address - Country:US
Practice Address - Phone:352-509-5201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty