Provider Demographics
NPI:1861647851
Name:TOWNSEND, CHERYL ANN (AUD)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1676 SUNSET AVE
Mailing Address - Street 2:FSLHC GRUPPE HEARING AND SPEECH CENTER
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-5416
Mailing Address - Country:US
Mailing Address - Phone:315-624-5455
Mailing Address - Fax:315-624-5291
Practice Address - Street 1:1676 SUNSET AVE
Practice Address - Street 2:FSLHC GRUPPE HEARING AND SPEECH CENTER
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-5416
Practice Address - Country:US
Practice Address - Phone:315-624-5455
Practice Address - Fax:315-624-5291
Is Sole Proprietor?:No
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001584237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter