Provider Demographics
NPI:1760621361
Name:LAUFFER, CHERYL SPENCER (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:SPENCER
Last Name:LAUFFER
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 1:5012 NE TOWNLINE RD
Mailing Address - Street 2:
Mailing Address - City:MARCELLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13108-9795
Mailing Address - Country:US
Mailing Address - Phone:315-882-2483
Mailing Address - Fax:
Practice Address - Street 1:5012 NE TOWNLINE RD
Practice Address - Street 2:
Practice Address - City:MARCELLUS
Practice Address - State:NY
Practice Address - Zip Code:13108-9795
Practice Address - Country:US
Practice Address - Phone:315-882-2483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009775-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist