Provider Demographics
NPI:1881030633
Name:SALE, CHERYL C (CCC/A)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:C
Last Name:SALE
Suffix:
Gender:F
Credentials:CCC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11501 PRIMROSE LN
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23146-1745
Mailing Address - Country:US
Mailing Address - Phone:804-201-7402
Mailing Address - Fax:
Practice Address - Street 1:11501 PRIMROSE LN
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:VA
Practice Address - Zip Code:23146-1745
Practice Address - Country:US
Practice Address - Phone:804-201-7402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000347231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist