Provider Demographics
NPI:1922586452
Name:FLAMMER, CHEYENNE NICOLE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CHEYENNE
Middle Name:NICOLE
Last Name:FLAMMER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4902 CREEKSIDE DR STE A
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-4033
Mailing Address - Country:US
Mailing Address - Phone:727-592-9100
Mailing Address - Fax:
Practice Address - Street 1:4902 CREEKSIDE DR STE A
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-4033
Practice Address - Country:US
Practice Address - Phone:727-592-9100
Practice Address - Fax:727-592-9109
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA16480235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist