Provider Demographics
NPI:1013122555
Name:RUHLEN, CHERYL JEANNE (AUD)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:JEANNE
Last Name:RUHLEN
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 1:800 OAK RIDGE TURNPIKE, SUITE C 100
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830
Mailing Address - Country:US
Mailing Address - Phone:865-483-2288
Mailing Address - Fax:865-483-6568
Practice Address - Street 1:800 OAK RIDGE TURNPIKE, SUITE C 100
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830
Practice Address - Country:US
Practice Address - Phone:865-483-2288
Practice Address - Fax:865-483-6568
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1370231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU1370OtherAUDIOLOGIST